Healthcare Provider Details

I. General information

NPI: 1043503816
Provider Name (Legal Business Name): EILEEN DROHAN HOUSTON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EILEEN MARIE DROHAN RN

II. Dates (important events)

Enumeration Date: 05/26/2011
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 CENTER ST
MOBILE AL
36604-3301
US

IV. Provider business mailing address

6569 LUBARRETT WAY
MOBILE AL
36695-3826
US

V. Phone/Fax

Practice location:
  • Phone: 251-415-1055
  • Fax:
Mailing address:
  • Phone: 251-661-7860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number1-046004
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: