Individual
MASON FLANINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W 11TH ST, BICKNELL, IN 47512-9626
(812) 735-4040
Mailing address
510 W 11TH ST, BICKNELL, IN 47512-9626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014148A
IN
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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