Individual provider · Type 1 NPI

Amy Diane Carrillo

Family Nurse Practitioner · Odessa, TX

NPI number 1366082075 Active

Practice location

912 E 5th St
Odessa, TX 79761-4605

Fax (432) 334-8875

Mailing address

10555 W Hacienda Dr
Odessa, TX 79763-7208

Other practice locations

  • 2101 N Midland Dr Ste 14A, Midland, TX 79707-5507 · (432) 695-6300

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP144543 (TX)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1366082075

Amy Diane Carrillo's National Provider Identifier is 1366082075, issued on Jan 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Odessa, TX. The record was last updated on Aug 24, 2021.