Provider Demographics
NPI:1689679789
Name:DROHAN, HELEN MARY (CNM)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:MARY
Last Name:DROHAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2863 SILK OAK AVE
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-4985
Mailing Address - Country:US
Mailing Address - Phone:805-493-2118
Mailing Address - Fax:818-781-4415
Practice Address - Street 1:7222 VAN NUYS BLVD
Practice Address - Street 2:STE C
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2200
Practice Address - Country:US
Practice Address - Phone:818-781-1460
Practice Address - Fax:818-781-4415
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW014040367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANMW014040OtherPROVIDER # (MEDI-CAL)