Individual provider · Type 1 NPI

Jaime Kamaile Carrillo, FNP-BC

Family Nurse Practitioner · Pasadena, CA

NPI number 1568890945 Active

Practice location

3160 E Del Mar Blvd
Pasadena, CA 91107-4649

Fax (626) 270-2498

Mailing address

17321 Boswell Pl
Granada Hills, CA 91344-1023

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X689151 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1568890945

Jaime Kamaile Carrillo, FNP-BC's National Provider Identifier is 1568890945, issued on Oct 23, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pasadena, CA. The record was last updated on Oct 31, 2014.