Individual
MS. ELAINE MARIE CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNSC FNP
Contact information
Practice address
2270 NW AVIATION DR, SUITE 3, ROSEBURG, OR 97470-1931
(541) 672-8620
(541) 672-8670
Mailing address
2270 NW AVIATION DR, SUITE 3, ROSEBURG, OR 97470-1931
(541) 672-8620
(541) 672-8670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200150095NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100309
—
OR
Enumeration date
01/03/2006
Last updated
08/19/2015
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