Individual
ELISA RENEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3635 CHEMEHUEVI BLVD, LAKE HAVASU CITY, AZ 86406-6327
(928) 235-6255
Mailing address
3635 CHEMEHUEVI BLVD, LAKE HAVASU CITY, AZ 86406-6327
(928) 235-6255
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
287162
AZ
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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