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Mrs. Amy Diane Carrillo
Family Nurse Practitioner in Odessa, Texas
NPI 1366082075

Amy Diane Carrillo is a Family Nurse Practitioner based in Odessa, TX and is specialized in Family. Amy Diane Carrillo practices in Odessa, TX. The NPI Number for Amy Diane Carrillo is 1366082075 and holds a License No. AP144543 (Texas).

The current practice location address for Amy Diane Carrillo is 912 E 5Th St, Odessa, TX and can be reached out via phone at 432-334-8845 and via fax at 432-334-8875.

Location: 912 E 5Th St, Odessa, TX, 79763-7208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366082075
Provider Name
Amy Diane Carrillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
912 E 5Th St, Odessa, TX, 79763-7208
Phone Number
432-334-8845
Fax Number
432-334-8875
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
912 E 5Th St
City
Odessa
State
Texas
Zip
79761-4605
Phone Number
432-334-8845
Fax Number
432-334-8875
person
Provider Business Mailing Address Details
Address
912 E 5Th St
City
Odessa
State
Texas
Zip
79761-4605
Phone Number
432-334-8845
Fax Number
432-334-8875
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP144543 (Texas)
Definition
Definition to come...
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