Provider Demographics
NPI:1609559178
Name:ELIEZER, CARLINE (RN, MSN, APRN)
Entity Type:Individual
Prefix:PROF
First Name:CARLINE
Middle Name:
Last Name:ELIEZER
Suffix:
Gender:F
Credentials:RN, MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 VAUXHALL RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5875
Mailing Address - Country:US
Mailing Address - Phone:973-223-6862
Mailing Address - Fax:
Practice Address - Street 1:2122 VAUXHALL RD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5875
Practice Address - Country:US
Practice Address - Phone:973-223-6862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12139700163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology