MEDICARE: MR. GREG ANDREW FILLENWARTH FNP,BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71001766B	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477556108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GREG ANDREW FILLENWARTH FNP,BC

Provider Business Mailing Address
First Line	:	1800 COMMERCIAL DR
Second Line	:
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-5547
Country	:	US
Telephone Number	:	812-953-1348
Fax Number	:	812-953-1356

Provider Business Practice Location Address
First Line	:	1800 COMMERCIAL DR
Second Line	:
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-5547
Country	:	US
Telephone Number	:	812-953-1348
Fax Number	:	812-953-1356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/10/2021

Similar Medicare Providers

1073376471 — EMPOWER MENTAL HEALTH, LLC
Practice Location Address:

1800 COMMERCIAL DR
NORTH VERNON, IN
47265-5547

Practice Phone: 812-718-1606
Practice Fax: 866-854-0604

1811358096 — KYRA A LITTRELL LMHC, LCAC
Practice Location Address:

1800 COMMERCIAL DR
NORTH VERNON, IN
47265-5547

Practice Phone: 812-718-1606
Practice Fax: 866-854-0604

1598272858 — PRISCILLA ANNE WILLMOTT
Practice Location Address:

12139 MOUNT VERNON AVE STE 202
GRAND TERRACE, CA
92313-5547

Practice Phone: 909-323-3505
Practice Fax:

1467050955 — HEALTH REDESIGNED
Practice Location Address:

12139 MOUNT VERNON AVE STE 203
GRAND TERRACE, CA
92313-5547

Practice Phone: 909-533-4446
Practice Fax:

1457948077 — THESPACEBETWEENCOUNSELINGSERVICESLICENSEDCLINICALSOCIALWORKERINC
Practice Location Address:

12139 MOUNT VERNON AVE STE 200A
GRAND TERRACE, CA
92313-5547

Practice Phone: 951-465-5812
Practice Fax: 951-346-5680

1467123869 — JOHN LEE ROBERTS LPC
Practice Location Address:

628 W BROADWAY ST STE 300
NORTH LITTLE ROCK, AR
72114-5547

Practice Phone: 501-214-5424
Practice Fax: 501-984-8611

Directions to “ MR. GREG ANDREW FILLENWARTH FNP,BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.