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Individual
MS. CAROL ANN ELIADI
Active
Individual
MS. CAROL ANN ELIADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
110010
MA
363LA2200X
Adult Health Nurse Practitioner
RN110010
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN110010
MA
Other
Enumeration date
07/10/2012
Last updated
05/17/2019
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