Individual
ALICE FILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-2689
Mailing address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111703
NE
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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