Individual
CHRISTINE RENE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, RNFA, CNOR
Contact information
Practice address
1311 GARDEN ST, TITUSVILLE, FL 32796-3312
(321) 268-0720
(321) 383-7596
Mailing address
1311 GARDEN ST, TITUSVILLE, FL 32796-3312
(321) 268-0720
(321) 383-7596
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN2055572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2055572
FLORIDA NURSING LICENSE
FL
Enumeration date
03/26/2011
Last updated
03/26/2011
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