| Ms Priscilla T Carrillo, RN | |
|
12000 Stone Lake Rd., Dulce, NM 87528 | |
| (575) 759-3291 | |
| Not Available |
| Full Name | Ms Priscilla T Carrillo |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Ambulatory Care |
| Location | 12000 Stone Lake Rd., Dulce, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922022995 | NPI | - | NPPES |
| 00K3526 | Medicaid | NM | |
| HSZ196 | Other | NM | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP2201X | Registered Nurse - Ambulatory Care | R53479 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Priscilla T Carrillo, RN Hc 75 Box 53a, Chama, NM 87520-9702 Ph: (505) 929-4962 | Ms Priscilla T Carrillo, RN 12000 Stone Lake Rd., Dulce, NM 87528 Ph: (575) 759-3291 |
Deanna S Iovine, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 | |
Sonja H Emerson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-7286 Fax: 575-759-7289 | |
Phyllis Diane Morehead, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 | |
Mrs. Gaylia Dianne Pride, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Rd, Dulce, NM 87528 Phone: 505-759-7248 Fax: 505-759-7294 | |
Mrs. Marie S March, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 505-759-3291 | |
Susan Frances Donlon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Rd, Dulce, NM 87528 Phone: 505-759-7216 Fax: 505-759-7289 | |
Ms. Diane P Holzem, RN,C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Dulce, NM 87528 Phone: 505-759-7233 Fax: 505-759-7294 |