Individual
LISA ELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
(206) 223-6982
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00088260
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004949
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9626292
—
WA
Enumeration date
06/03/2006
Last updated
05/10/2013
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