Individual
ANASTASIA S CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
(704) 362-2663
Mailing address
759 GARDEN DISTRICT DR, CHARLOTTE, NC 28202-2998
(980) 475-0244
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022142
NC
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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