Individual provider · Type 1 NPI

Stacie Carrillo, PAC

Medical Physician Assistant · Hanover, PA

NPI number 1730731068 Active

Practice location

100 Eisenhower Dr
Hanover, PA 17331-5241

Call (717) 646-4201 Map

Fax (717) 646-4202

Mailing address

601 Memory Ln
York, PA 17402-2231

Other practice locations

96 Sofia Dr Ste 208, Shrewsbury, PA 17361-5201 · (717) 812-2400
46 Walnut Bottom Rd Ste 100, Shippensburg, PA 17257-8219 · (717) 477-2764
717 Town Center Dr, York, PA 17408-4824 · (717) 356-4240
2149 S Queen St, York, PA 17403-4845 · (717) 356-4460
446 N Reading Rd, Ephrata, PA 17522-9802 · (717) 738-5275
1000 Norland Ave, Chambersburg, PA 17201-4229 · (717) 267-6363
9 Nathan Ln, Annville, PA 17003-6500 · (717) 639-3350
455 S Washington St Ste 12, Gettysburg, PA 17325-2516 · (717) 339-2875
4050 N George Street Ext, Manchester, PA 17345-9347 · (717) 356-4370
601 E Main St, Waynesboro, PA 17268-2332 · (717) 765-5088
24 Antrim Commons Dr, Greencastle, PA 17225-1623 · (717) 593-0512
101 W Airport Rd, Lititz, PA 17543-9274 · (717) 466-2445

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	MA060995 (PA)
Medical Physician Assistant Primary	363AM0700X	MA060995 (PA)

Medical Physician Assistant: Definition to come...

4 other providers at this address

Other medical physician assistant providers in Hanover

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About NPI 1730731068

Stacie Carrillo, PAC's National Provider Identifier is 1730731068, issued on Jul 16, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hanover, PA. The record was last updated on Jun 12, 2026.