Provider Demographics
NPI:1649756065
Name:DRUCKER, NAOMI ELIZABETH (RN, MSN, CNM)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:ELIZABETH
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:RN, MSN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 N. SIERRA BONITA AVE
Mailing Address - Street 2:
Mailing Address - City:W. HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046
Mailing Address - Country:US
Mailing Address - Phone:310-497-1423
Mailing Address - Fax:
Practice Address - Street 1:1031 N SIERRA BONITA AVE
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-6410
Practice Address - Country:US
Practice Address - Phone:310-497-1423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235977367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife