Provider Demographics
NPI:1174516959
Name:DROGOWSKI, JANELLE MARIE (CNM, WHNP)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:MARIE
Last Name:DROGOWSKI
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:MARIE
Other - Last Name:HOOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14239 W BELL RD
Mailing Address - Street 2:#210
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-2469
Mailing Address - Country:US
Mailing Address - Phone:623-584-0800
Mailing Address - Fax:623-584-0312
Practice Address - Street 1:14239 W BELL RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2469
Practice Address - Country:US
Practice Address - Phone:623-584-0800
Practice Address - Fax:623-584-0312
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN067749363L00000X
AZAP4487367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
500030774OtherRAILROAD MEDICARE
AZ0147890OtherBCBS OF ARIZONA
AZ526428-03Medicaid
AZ0147890OtherBCBS OF ARIZONA
AZ526428-03Medicaid
Z124126Medicare PIN