Carrillo, Aisha
Carrillo, Aisha is an individual health care provider with primary practice located at 1800 Industrial Rd Ste 100 , Las Vegas NV 89102-2685. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Carrillo, Aisha can be contacted via phone (702) 474-4104.Contact Information
Primary practice address
1800 Industrial Rd Ste 100
Las Vegas NV 89102-2685
Phone: (702) 474-4104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LPN17500 | Nevada |
Profile Details
| NPI number | 1689193864 |
|---|---|
| LBN Legal business name | Carrillo, Aisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689193864 | NPPES |
| Nevada | MEDICAID | LPN17500 | |
| Nevada | MEDICAID | 17500 |
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