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Ms. Priscilla T Carrillo, RN
Ambulatory Care Registered Nurse in Dulce, New Mexico
NPI 1922022995

Priscilla T Carrillo is an Ambulatory Care Registered Nurse based in Chama, NM and is specialized in Ambulatory Care. Priscilla T Carrillo practices in Dulce, NM and has the professional credentials of RN. The NPI Number for Priscilla T Carrillo is 1922022995 and holds a License No. R53479 (New Mexico).

The current practice location address for Priscilla T Carrillo is 12000 Stone Lake Rd., Dulce, NM and can be reached out via phone at 575-759-3291.

Location: 12000 Stone Lake Rd., Dulce, NM, 87520-9702
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Provider Profile Details
NPI Number
1922022995
Provider Name
Priscilla T Carrillo
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
12000 Stone Lake Rd., Dulce, NM, 87520-9702
Phone Number
575-759-3291
Fax Number
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00K3526 05 NM
HSZ196 01 NM MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
12000 Stone Lake Rd.
City
State
Zip
87528
Phone Number
575-759-3291
Fax Number
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Provider Business Mailing Address Details
Address
12000 Stone Lake Rd.
City
State
Zip
87528
Phone Number
575-759-3291
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
R53479 (New Mexico)
Definition
Definition to come...
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