Individual
SARA G FILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2116 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4645
(308) 398-5560
(308) 398-5306
Mailing address
8055 O ST, STE 300, LINCOLN, NE 68510-2580
(402) 421-0896
(402) 421-0945
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1006
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244457
MIDLANDS CHOICE CCH
NE
01
—
278972
COVENTRY CCH
NE
01
—
38734
BCBS NE CCH
NE
Enumeration date
09/08/2006
Last updated
02/28/2008
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