Carrillo, Priscilla T
Carrillo, Priscilla T is an individual health care provider with primary practice located at 12000 Stone Lake Rd. , Dulce NM 87528. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Carrillo, Priscilla T can be contacted via phone (575) 759-3291.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Ambulatory Care | 163WP2201X | R53479 | New Mexico |
Profile Details
| NPI number | 1922022995 |
|---|---|
| LBN Legal business name | Carrillo, Priscilla T |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Sep 15th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922022995 | NPPES |
| New Mexico | MEDICAID | 00K3526 | |
| New Mexico | Other | HSZ196 |
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