Healthcare Provider Details

I. General information

NPI: 1174516959
Provider Name (Legal Business Name): JANELLE MARIE DROGOWSKI CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANELLE MARIE HOOVER

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 08/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14239 W BELL RD SUITE 210
SURPRISE AZ
85374-2469
US

IV. Provider business mailing address

14239 W BELL RD #210
SURPRISE AZ
85374-2469
US

V. Phone/Fax

Practice location:
  • Phone: 623-584-0800
  • Fax: 623-584-0312
Mailing address:
  • Phone: 623-584-0800
  • Fax: 623-584-0312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN067749
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP4487
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: