Individual provider · Type 1 NPI

Ellyne Carrillo

Licensed Vocational Nurse · Tumwater, WA

NPI number 1275486011 Active

Practice location

3285 Ferguson St SW Ste 218
Tumwater, WA 98512-6143

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X713749 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1275486011

Ellyne Carrillo's National Provider Identifier is 1275486011, issued on Feb 19, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Tumwater, WA. The record was last updated on Feb 26, 2026.