Provider Demographics
NPI:1851265433
Name:DRACOBLY, LOIS CATHERINE (ARNP-PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:CATHERINE
Last Name:DRACOBLY
Suffix:
Gender:F
Credentials:ARNP-PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 11TH ST E
Mailing Address - Street 2:
Mailing Address - City:FIFE
Mailing Address - State:WA
Mailing Address - Zip Code:98424-2933
Mailing Address - Country:US
Mailing Address - Phone:253-365-0800
Mailing Address - Fax:
Practice Address - Street 1:6609 11TH ST E
Practice Address - Street 2:
Practice Address - City:FIFE
Practice Address - State:WA
Practice Address - Zip Code:98424-2933
Practice Address - Country:US
Practice Address - Phone:253-365-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP70045011363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health