Healthcare Provider Details

I. General information

NPI: 1669380515
Provider Name (Legal Business Name): MARCIE GEISSER LNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6134 E MAIN ST STE 108
MESA AZ
85205-8962
US

IV. Provider business mailing address

928 S 98TH ST
MESA AZ
85208-3120
US

V. Phone/Fax

Practice location:
  • Phone: 480-714-4043
  • Fax:
Mailing address:
  • Phone: 480-714-4043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: