Healthcare Provider Details

I. General information

NPI: 1609349646
Provider Name (Legal Business Name): SARAH RAE GEIGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2019
Last Update Date: 03/15/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 BEAR MOUNTAIN BLVD
ARVIN CA
93203-1231
US

IV. Provider business mailing address

1305 BEAR MOUNTAIN BLVD
ARVIN CA
93203-1231
US

V. Phone/Fax

Practice location:
  • Phone: 661-854-3131
  • Fax: 661-854-2689
Mailing address:
  • Phone: 661-854-3131
  • Fax: 661-854-2689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95010730
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: