Healthcare Provider Details

I. General information

NPI: 1134388929
Provider Name (Legal Business Name): ALTERNATIVES FOR WOMEN,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 S JONES BLVD SUITE 3
LAS VEGAS NV
89146-5648
US

IV. Provider business mailing address

2810 S JONES BLVD SUITE 3
LAS VEGAS NV
89146-5648
US

V. Phone/Fax

Practice location:
  • Phone: 702-365-9929
  • Fax: 702-365-9931
Mailing address:
  • Phone: 702-365-9929
  • Fax: 702-365-9931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberAPN00538
License Number StateNV

VIII. Authorized Official

Name: MRS. MARTHA MARIE DROHOBYCZER
Title or Position: PRESIDENT
Credential: CNM,MSN
Phone: 702-365-9929