Provider Demographics
NPI:1336714682
Name:ELSNER, DANAE (RN)
Entity Type:Individual
Prefix:
First Name:DANAE
Middle Name:
Last Name:ELSNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DANAE
Other - Middle Name:
Other - Last Name:HAWES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1266 SW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-4406
Mailing Address - Country:US
Mailing Address - Phone:360-996-4256
Mailing Address - Fax:
Practice Address - Street 1:1266 SW 22ND ST
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-4406
Practice Address - Country:US
Practice Address - Phone:360-996-4256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA754409163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse