Individual
MRS. NATALIE ROXANNE CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP - BC
Contact information
Practice address
119 N HART ST, MEADE, KS 67864-6402
(620) 873-2112
(620) 873-5371
Mailing address
PO BOX 335, MINNEOLA, KS 67865-0335
(620) 253-2108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81611
KS
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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