Individual
ELEANOR ANN COLMENARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10024 JACKSONS WAY, PORT REPUBLIC, VA 24471-2337
(904) 304-5405
Mailing address
1463 BROOKHAVEN DR, ROCKINGHAM, VA 22801-3584
(540) 215-0082
(833) 972-5990
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024176744
VA
367A00000X
Advanced Practice Midwife
Primary
0024176744
VA
Other
Enumeration date
10/12/2018
Last updated
12/12/2024
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