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Thomas Stillman Elsemore, CRNA
Ophthalmic Registered Nurse in Lake Stevens, Washington
NPI 1407832983

Thomas Stillman Elsemore is a Ophthalmic Registered Nurse based in Lake Stevens, WA and is specialized in Ophthalmic. Thomas Stillman Elsemore practices in Lake Stevens, WA and has the professional credentials of CRNA. The NPI Number for Thomas Stillman Elsemore is 1407832983 and holds a License No. RN00061277 (Washington).

The current practice location address for Thomas Stillman Elsemore is 1418 E Lakeshore Dr, Lake Stevens, WA and can be reached out via phone at 425-334-8081. You can also correspond with Thomas Stillman Elsemore through the mailing address at PMB 954, LAKE STEVENS, WA - 98258 (mailing address contact number: 425-345-1947).

Location: 1418 E Lakeshore Dr, Lake Stevens, WA, 98258
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Provider Profile Details
NPI Number
1407832983
Provider Name
Thomas Stillman Elsemore
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1418 E Lakeshore Dr, Lake Stevens, WA, 98258
Phone Number
425-334-8081
Fax Number
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9618489 05 WA
202723 01 WA L & I
institution
Provider Business Practice Location Address Details
Address
1418 E Lakeshore Dr
City
State
Zip
98258-8638
Phone Number
425-334-8081
Fax Number
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Provider Business Mailing Address Details
Address
Pmb 954
City
State
Zip
98258
Phone Number
425-345-1947
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ophthalmic
Taxonomy
License No.
RN00061277 (Washington)
Definition
Definition to come...
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