Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roman Alejandro Elisarraraz

Individual provider Licensed Practical Nurse · NPI 1245108778

Roman Alejandro Elisarraraz is a Licensed Practical Nurse in Shelton, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

307 W Cota St
Shelton, WA 98584-2265
Phone: (360) 205-8001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP70039133 (WA)

Record details

NPI number1245108778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

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