MEDICARE: KATHLEEN ANN GEIER NP, RN, CNS

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	163W00000X	Registered Nurse	258639	CA
2	363L00000X	Nurse Practitioner	14027	CA
3	364S00000X	Clinical Nurse Specialist	1524	CA

General Provider Information

NPI Number	:	1174549729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN ANN GEIER NP, RN, CNS

Provider Business Mailing Address
First Line	:	200 PORTER DR
Second Line	:	SUITE 101
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1587
Country	:	US
Telephone Number	:	925-355-7350
Fax Number	:	925-244-1457

Provider Business Practice Location Address
First Line	:	5801 NORRIS CANYON RD
Second Line	:	SUITE 210
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5440
Country	:	US
Telephone Number	:	925-355-7350
Fax Number	:	925-244-1457

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	04/26/2010

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