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Organization

WELLCARE HOLISTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICIA ELIACIN DNP (NURSE PRACTITIONER)
(973) 963-4402
Entity
Organization

Contact information

Practice address
123 MAIN ST, MATAWAN, NJ 07747-2664
(973) 963-4402
(973) 363-4742
Mailing address
41 CENTER ST STE 106, FREEHOLD, NJ 07728-2220
(973) 963-4402
(973) 363-4742

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
10/16/2023
Last updated
06/10/2025
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