Individual
AISHA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 INDUSTRIAL RD STE 100, LAS VEGAS, NV 89102-2685
(702) 474-4104
Mailing address
1800 INDUSTRIAL RD STE 100, LAS VEGAS, NV 89102-2685
(702) 474-4104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN17500
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17500
—
NV
05
—
LPN17500
—
NV
Enumeration date
09/19/2017
Last updated
07/21/2022
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