Individual
CRYSTAL CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
APRN, FNP-C
Contact information
Practice address
6329 STATE ROAD 54, NEW PORT RICHEY, FL 34653-6037
(727) 844-5555
Mailing address
6436 PROPEL RUN, NEW PORT RICHEY, FL 34655-1029
(913) 952-6231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11049286
FL
Other
Enumeration date
07/18/2026
Last updated
07/18/2026
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