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Stacie Carrillo, PAC
NPI 1730731068 · on the registry since 2019
Practice
- Address
- 100 Eisenhower Dr
Hanover, PA 17331 - Phone
- (717) 646-4201
- Fax
- (717) 646-4202
- Organisation at this address
- Wellspan Medical Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 9 Nathan Ln, Annville, PA
- 455 S Washington St Ste 12, Gettysburg, PA
- 4050 N George Street Ext, Manchester, PA
- 101 W Airport Rd, Lititz, PA
- 24 Antrim Commons Dr, Greencastle, PA
- 446 N Reading Rd, Ephrata, PA
- 1000 Norland Ave, Chambersburg, PA
- 96 Sofia Dr Ste 208, Shrewsbury, PA
- 46 Walnut Bottom Rd Ste 100, Shippensburg, PA
- 717 Town Center Dr, York, PA
- 2149 S Queen St, York, PA
- 601 E Main St, Waynesboro, PA
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Physician Assistant
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania