Individual
ELI STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 956-2550
Mailing address
1613 NORTH HARRISON PKWY, SUITE 200, SUNRISE, FL 33323-2853
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60251147
WA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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