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NPI 1407832983

IndividualActive

Thomas Elsemore, CRNA

NPI 1407832983 · Ophthalmic Registered Nurse · Lake Stevens, WA

Provider details

NPI number: 1407832983
Entity type: Individual
Primary specialty: Ophthalmic Registered NurseNursing Service Providers
Credential: CRNA
Sex: Male
Sole proprietor: Yes
License: RN00061277 (WA)

Practice location

1418 E Lakeshore Dr

Lake Stevens, WA 98258-8638

Phone: (425) 334-8081

More WA providers

Mailing address

Pmb 954

Lake Stevens, WA 98258

Registry dates

Enumerated: 2005-12-16
Last updated: 2010-01-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Thomas Elsemore, CRNA — NPI 1407832983, Lake Stevens, WA | NPI Central