Provider Demographics
NPI:1689016214
Name:DREHER, PATRICK (ARNP)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:DREHER
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 NE 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1310
Mailing Address - Country:US
Mailing Address - Phone:954-530-8357
Mailing Address - Fax:954-533-7469
Practice Address - Street 1:2500 NE 15TH AVE
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1310
Practice Address - Country:US
Practice Address - Phone:954-530-8357
Practice Address - Fax:954-533-7469
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3177832363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner