IndividualActive
Vanessa Carrillo
NPI 1962364570 · Speech-Language Assistant · Nampa, ID
Provider details
- NPI number
- 1962364570
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8971781 (ID)
Practice location
101 11th Ave S Ste 155
Nampa, ID 83651-3946
Phone: (208) 466-1077
Fax: (208) 467-2201
Mailing address
101 11th Ave S Ste 155
Nampa, ID 83651-3946
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.