Organization
HOLISTIC HEALTHCARE SERVICES, LLC
Active
Other names
Restorative Wellness , LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANTA J CRISALL RN,APN, PSYD (PRESIDENT)
(201) 400-7292
Entity
Organization
Contact information
Practice address
550 KINDERKAMACK RD STE 124, ORADELL, NJ 07649-1500
(201) 400-7292
(866) 889-7073
Mailing address
712 PARAMUS RD, PARAMUS, NJ 07652-1735
(201) 400-7292
(888) 599-1771
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NNO71590
NJ
363LP2300X
Primary Care Nurse Practitioner
NNO71590
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043608
MEDICARE
NJ
05
—
8459908
—
NJ
Enumeration date
01/03/2017
Last updated
11/19/2023
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