Individual
ELAINE A. CLANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2006 HEALTH CAMPUS DR STE 300, ROCKINGHAM, VA 22801-8679
(540) 689-7400
(757) 963-9617
Mailing address
2006 HEALTH CAMPUS DR STE 300, ROCKINGHAM, VA 22801-8679
(540) 689-7400
(757) 963-9617
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024177978
VA
363LG0600X
Gerontology Nurse Practitioner
0024177978
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407401151
—
VA
Enumeration date
08/08/2019
Last updated
10/22/2021
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