Carrillo, Donna

Carrillo, Donna is an individual health care provider with primary practice located at 3940 Dupont Cir , Louisville KY 40207-4806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carrillo, Donna can be contacted via phone (502) 895-1111.

Contact Information

Primary practice address
3940 Dupont Cir Louisville KY 40207-4806
Phone: (502) 895-1111
Fax: (502) 895-1085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 3002353 Kentucky

Profile Details

NPI number 1295729630
LBN Legal business name Carrillo, Donna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295729630 NPPES
Kentucky MEDICAID 78005790

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