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Individual

ELLIOTT CHADWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
4695 MACARTHUR CT FL 11, NEWPORT BEACH, CA 92660-1882
(949) 876-7783
Mailing address
4695 MACARTHUR CT FL 11, NEWPORT BEACH, CA 92660-1882
(949) 876-7783
(949) 818-5372

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
818473
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030721
CA

Other

Enumeration date
09/08/2014
Last updated
01/16/2026
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