Individual provider · Type 1 NPI

Mary Carrillo

Certified Registered Nurse Anesthetist · Florham Park, NJ

NPI number 1356722268 Active

Practice location

140 Park Ave
Florham Park, NJ 07932-1049

Call (973) 404-9700 Map

Fax (973) 377-4709

Mailing address

100 Route 59, Suite 105
Suffern, NY 10901-4927

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X26NR12741800 (NJ)
Certified Registered Nurse Anesthetist Primary 367500000X26NJ00602400 (NJ)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1356722268

Mary Carrillo's National Provider Identifier is 1356722268, issued on Jun 16, 2015. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Florham Park, NJ. The record was last updated on Jan 11, 2018.