# MRS. BEATRIZ CARRILLO BLANCO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538396924
- **Gender:** F
- **Credential:** DNP, FNP-C, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 658407 | TX | — |
| 363LF0000X | Family Nurse Practitioner | AP113106 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP113106 | TX | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 09/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1538396924 | NPI | TX |