Healthcare Provider Details

I. General information

NPI: 1447915798
Provider Name (Legal Business Name): REEVE KRISTYN GEIGER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 08/14/2023
Certification Date: 08/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 PROVIDENCE DR
ANCHORAGE AK
99508-4615
US

IV. Provider business mailing address

3200 PROVIDENCE DR
ANCHORAGE AK
99508-4615
US

V. Phone/Fax

Practice location:
  • Phone: 710-201-2949
  • Fax:
Mailing address:
  • Phone: 719-201-2949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0997067
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: