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Individual

LAURA KAY FILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-8833
(701) 530-8842

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R28918
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1453385
ND
01
26720
BCBS
ND
Enumeration date
06/08/2006
Last updated
07/07/2016
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