Provider Demographics
NPI:1851010748
Name:DRONBERGER, EVELYNN HANNA (CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:EVELYNN
Middle Name:HANNA
Last Name:DRONBERGER
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 W LEMON AVE
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2710
Mailing Address - Country:US
Mailing Address - Phone:909-936-8522
Mailing Address - Fax:
Practice Address - Street 1:229 W LEMON AVE
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2710
Practice Address - Country:US
Practice Address - Phone:909-936-8522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022463363LW0102X
OR202215506NP-PP363LW0102X
CA236311367A00000X
OR202215508NP-PP367A00000X
367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA236311OtherCNM LICENSE