Individual provider · Type 1 NPI
Roman Alejandro Elisarraraz
Licensed Practical Nurse · Shelton, WA
NPI number
1245108778
Active
Practice location
307 W Cota St
Shelton, WA 98584-2265
Mailing address
7621 19th Ln SE Apt 310
Lacey, WA 98503-3491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LP70039133 (WA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1245108778
Roman Alejandro Elisarraraz's National Provider Identifier is 1245108778, issued on Oct 27, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shelton, WA. The record was last updated on Oct 27, 2025.