Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE CARRILLO, PAC
ActiveSTACIE CARRILLO, PAC is a Medical Physician Assistant healthcare provider located in HANOVER, Pennsylvania. NPI 1730731068 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HANOVER, PA
Registration Details
- NPI Number
- 1730731068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2019 (7.0534304713009 yrs)
- Last Updated
- Mar 14, 2024
- Licenses
-
MA060995 (PA)MA060995 (PA)
Practice Information
- Address
-
100 EISENHOWER DRHANOVER, PA, 173315241Browse PA providers · Browse ZIP 17331
- Phone
- 7176464201
- Fax
- 7176464202
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in HANOVER, PA
| Name | Credential | NPI |
|---|---|---|
| JASON ZINN | M.P.A. | 1457350308 |
| TERRI LYNNE JOHNSON | PA C | 1346200243 |
| MR. ERIC M FLICKINGER | PAC | 1952364507 |
| ANN K BISER | PA | 1760436851 |
| MS. MARY REBECCA KEMPER | PA-C | 1790874261 |
| WINSOR CLAYTON MCBETH | PA-C | 1629375407 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.