Individual provider · Type 1 NPI
Lisa Carrillo, RN
Home Health Registered Nurse · Roseville, CA
NPI number
1821617796
Active
Practice location
4332 Majestic Prince Way
Roseville, CA 95747-9627
Mailing address
8 Wilshire Ct
Daly City, CA 94015-1038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 738171 (CA) |
Home Health Registered Nurse: Definition to come...
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About NPI 1821617796
Lisa Carrillo, RN's National Provider Identifier is 1821617796, issued on Apr 10, 2020. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Roseville, CA. The record was last updated on Apr 10, 2020.