Carrillo, Stacie

Carrillo, Stacie is an individual health care provider with primary practice located at 100 Eisenhower Dr , Hanover PA 17331-5241. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Carrillo, Stacie can be contacted via phone (717) 646-4201.

Contact Information

Primary practice address
100 Eisenhower Dr Hanover PA 17331-5241
Phone: (717) 646-4201
Fax: (717) 646-4202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA060995 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA060995 Pennsylvania

Profile Details

NPI number 1730731068
LBN Legal business name Carrillo, Stacie
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Mar 14th, 2024 - about last year

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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