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Individual
MRS. BEATRIZ CARRILLO BLANCO
Active
Individual
MRS. BEATRIZ CARRILLO BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
658407
TX
363LF0000X
Family Nurse Practitioner
AP113106
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP113106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538396924
NPI
TX
Enumeration date
06/12/2009
Last updated
09/28/2021
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