Provider Demographics
NPI:1912168766
Name:EKLUND, JANALEA ANNE (RM, CPM)
Entity type:Individual
Prefix:MRS
First Name:JANALEA
Middle Name:ANNE
Last Name:EKLUND
Suffix:
Gender:F
Credentials:RM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2747 RIGEL DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-1034
Mailing Address - Country:US
Mailing Address - Phone:719-330-6699
Mailing Address - Fax:719-389-1247
Practice Address - Street 1:2747 RIGEL DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-1034
Practice Address - Country:US
Practice Address - Phone:719-330-6699
Practice Address - Fax:719-389-1247
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO66175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay