Healthcare Provider Details

I. General information

NPI: 1184707077
Provider Name (Legal Business Name): MARTHA MARIE DROHOBYCZER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
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 Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPN538
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN538
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: