Individual
DR. ADOMALE ELBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
Mailing address
6024 SMOOTH STONE PL, HAYMARKET, VA 20169-3310
(443) 722-9277
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024177746
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE
—
Enumeration date
09/06/2019
Last updated
09/06/2019
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