Individual
KYLE ANDREW WEISS CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
7200 MONTGOMERY BLVD NE STE 7121, ALBUQUERQUE, NM 87109-1510
(408) 781-0505
Mailing address
1112 CALLE DEL SOL NE, ALBUQUERQUE, NM 87106-1909
(408) 781-0505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78510
NM
Other
Enumeration date
04/02/2024
Last updated
05/13/2026
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