Healthcare Provider Details

I. General information

NPI: 1639073547
Provider Name (Legal Business Name): CHELSEA DROZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W 3RD ST
MILLER SD
57362-1324
US

IV. Provider business mailing address

425 E 2ND AVE
MILLER SD
57362-1423
US

V. Phone/Fax

Practice location:
  • Phone: 605-494-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number202005
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: