Provider Demographics
NPI:1467091256
Name:BICKNELL, FILMA ALQUISOLA (FNP)
Entity Type:Individual
Prefix:
First Name:FILMA
Middle Name:ALQUISOLA
Last Name:BICKNELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 LONG HILL DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-1414
Mailing Address - Country:US
Mailing Address - Phone:203-803-8717
Mailing Address - Fax:
Practice Address - Street 1:19 LONG HILL DR
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-1414
Practice Address - Country:US
Practice Address - Phone:203-803-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-27
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT090499163W00000X
CT12.008700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse