Provider Demographics
NPI:1164692380
Name:NEAL-EHANIRE, ELEANOR ROSE
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:ROSE
Last Name:NEAL-EHANIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6955 SPINNING SEED
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5314
Mailing Address - Country:US
Mailing Address - Phone:443-832-4357
Mailing Address - Fax:
Practice Address - Street 1:205 YOAKUM COURT, 2#1016
Practice Address - Street 2:
Practice Address - City:ALEXANDRA
Practice Address - State:VA
Practice Address - Zip Code:22304
Practice Address - Country:US
Practice Address - Phone:703-888-0217
Practice Address - Fax:703-286-7514
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant