Anita Carrillo, ARNP

Individual provider Active NPI Family Nurse Practitioner · Key Biscayne, FL

NPI 1003237637 · NPPES record last updated Jul 7, 2015

Key facts

NPI
1003237637
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
9219683 (FL)
Practice address
726 Crandon Blvd
Key Biscayne, FL 33149-2506
Phone
(186) 638-9272
NPI assigned
Dec 28, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9219683FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Keys Area Health Education Center, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9219683 FL Yes

Addresses

Primary practice location

726 Crandon Blvd
Key Biscayne, FL 33149-2506

Mailing address

726 Crandon Blvd
Key Biscayne, FL 33149-2506

Other providers in Key Biscayne, FL

All providers in Key Biscayne, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.