Provider Demographics
NPI:1780159111
Name:COLMENARES, ELEANOR ANN (CNM)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:ANN
Last Name:COLMENARES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1463 BROOKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3584
Mailing Address - Country:US
Mailing Address - Phone:540-215-0082
Mailing Address - Fax:833-972-5990
Practice Address - Street 1:10024 JACKSONS WAY
Practice Address - Street 2:
Practice Address - City:PORT REPUBLIC
Practice Address - State:VA
Practice Address - Zip Code:24471-2337
Practice Address - Country:US
Practice Address - Phone:904-304-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024176744363LX0001X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology