Nicole Danielle Carrillo
Nurse Practitioner - Critical Care Medicine
623 Broderick St
San Francisco
, California 94117-1590
Nicole Danielle Carrillo
Nurse Practitioner - Critical Care Medicine
623 Broderick St
San Francisco
, California 94117-1590
(415) 921-9110
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Nicole Danielle Carrillo
- 623 Broderick St Apartment A
- San Francisco, CA
- Zip : 94117-1590
- Phone : (415) 921-9110
Second Address
- Nicole Danielle Carrillo
- 623 Broderick St
- San Francisco, CA
- Zip : 94117-1590
- Phone : (415) 921-9110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | NP14993 | CA |
National Provider Identifier
| NPI | 1114934346 |
|---|---|
| Provider Name | Nicole Danielle Carrillo |
| First Address | San Francisco, CA 94117-1590 |
| Second Address | San Francisco, CA 94117-1590 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 30/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.