Individual
MRS. CLERICE CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
217 MARLOWE LN NE, ALBUQUERQUE, NM 87113-2512
(505) 506-9911
Mailing address
217 MARLOWE LN NE, ALBUQUERQUE, NM 87113-2512
(505) 506-9911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN-80656
NM
363LF0000X
Family Nurse Practitioner
Primary
86087
NM
Other
Enumeration date
06/19/2024
Last updated
02/18/2026
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