Individual provider · Type 1 NPI

Kyle Andrew Weiss Carrillo, CNP

Nurse Practitioner · Albuquerque, NM

NPI number 1720830904 Active

Practice location

7200 Montgomery Blvd NE Ste 7121
Albuquerque, NM 87109-1510

Mailing address

1112 Calle Del Sol NE
Albuquerque, NM 87106-1909

Other practice locations

  • 1010 Three Springs Blvd, Durango, CO 81301-8296 · (970) 764-3352

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X78510 (NM)
Nurse Practitioner 363L00000XC-APN.0107089-C-NP (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720830904

Kyle Andrew Weiss Carrillo, CNP's National Provider Identifier is 1720830904, issued on Apr 2, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 22, 2026.