Individual
ELEANOR MCKENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1665 COCHRANE CIR BLDG 7494, FT CARSON, CO 80913-4603
(719) 526-8787
(719) 526-4020
Mailing address
1665 COCHRANE CIR BLDG 7494, FORT CARSON, CO 80913-4603
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN0119236
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN0119236
RN NURSE CASE MANAGEMENT
CO
Enumeration date
03/24/2021
Last updated
03/24/2021
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