Provider Demographics
NPI:1699087940
Name:SILEU, ELIZABETH NANSI (RPH)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:NANSI
Last Name:SILEU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4412 ANCHOR BEND CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-1977
Mailing Address - Country:US
Mailing Address - Phone:757-488-5683
Mailing Address - Fax:757-488-5683
Practice Address - Street 1:2004 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23702-2642
Practice Address - Country:US
Practice Address - Phone:757-487-9208
Practice Address - Fax:757-487-3169
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist