National Provider Identifier Database

PRISCILLA T CARRILLO, RN – NPI #1922022995
Ambulatory Care


Contact Information

PRISCILLA T CARRILLO, RN
12000 STONE LAKE RD.
DULCE, NM87528
Phone: 575-759-3291
Fax:
Website:
Specialty Taxonomy Code
* Ambulatory Care 163WP2201X

* Indicates primary specialty

NPI Profile & details for PRISCILLA T CARRILLO

NPI Number 1922022995
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/26/2006
Last updated 09/15/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • NM License #: R53479
  • NM Medicaid: 00K3526
  • NM Other: HSZ196 MEDICARE PART B
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRISCILLA T CARRILLO, RN

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