Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Stacy Aileen Carrillo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790401917

MS. Stacy Aileen Carrillo is a Student in an Organized Health Care Education/Training Program in Hartford, Connecticut. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

45 Wadsworth St
Hartford, CT 06106-7108
Phone: (860) 680-5096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790401917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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