IndividualActive
Andrea Carrillo
NPI 1922622810 · Nurse's Aide · Hackensack, NJ
Provider details
- NPI number
- 1922622810
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NA200032500 (NJ)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
301 Union St
Hackensack, NJ 07601-4304
Phone: (201) 487-4900
Approximate (ZIP-level) locationGet directions
Mailing address
12 Onyx Ct
Passaic, NJ 07055-1918
Registry dates
- Enumerated
- 2020-06-05
- Last updated
- 2020-06-05
- Certified
- 2020-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.