Individual
ELIZABETH A COLEBANK-ANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3535 PENTAGON BLVD STE 330, BEAVERCREEK, OH 45431-1705
(937) 558-3021
(937) 558-3026
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8493
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.024731
OH
363LG0600X
Gerontology Nurse Practitioner
100789
WV
Other
Enumeration date
08/21/2018
Last updated
11/19/2024
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