Organization
ERIC ELSEMORE CRNA LLC
Active
Other names
Eric Elsemore CNRA
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ANDREW ELSEMORE CRNA (OWNER)
(425) 888-8588
Entity
Organization
Contact information
Practice address
15535 477TH AVE SE, NORTH BEND, WA 98045-8666
(425) 888-8588
Mailing address
PO BOX 471, NORTH BEND, WA 98045-0471
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005759
WA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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