Individual
MRS. JANET SUSAN ELSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18765 RIVERSIDE DRIVE, GRUNDY, VA 24614
(276) 935-2880
(276) 935-2889
Mailing address
PO BOX 498, KEEN MOUNTAIN, VA 24624-0498
(276) 935-2880
(276) 935-2889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024089979
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10166
MEDICARE GROUP PTAN
VA
Enumeration date
12/20/2006
Last updated
08/07/2009
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