Healthcare Provider Details

I. General information

NPI: 1912168766
Provider Name (Legal Business Name): JANALEA ANNE EKLUND R.M., C.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2747 RIGEL DR
COLORADO SPRINGS CO
80906-1034
US

IV. Provider business mailing address

2747 RIGEL DR
COLORADO SPRINGS CO
80906-1034
US

V. Phone/Fax

Practice location:
  • Phone: 719-330-6699
  • Fax: 719-389-1247
Mailing address:
  • Phone: 719-330-6699
  • Fax: 719-389-1247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number66
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: