Individual
MR. GREG ANDREW FILLENWARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP,BC
Contact information
Practice address
1800 COMMERCIAL DR, NORTH VERNON, IN 47265-5547
(812) 953-1348
(812) 953-1356
Mailing address
1800 COMMERCIAL DR, NORTH VERNON, IN 47265-5547
(812) 953-1348
(812) 953-1356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001766B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200519260
—
IN
Enumeration date
05/27/2005
Last updated
03/10/2021
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