Healthcare Provider Details

I. General information

NPI: 1174549729
Provider Name (Legal Business Name): KATHLEEN ANN GEIER NP, RN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 NORRIS CANYON RD SUITE 210
SAN RAMON CA
94583-5440
US

IV. Provider business mailing address

200 PORTER DR SUITE 101
SAN RAMON CA
94583-1587
US

V. Phone/Fax

Practice location:
  • Phone: 925-355-7350
  • Fax: 925-244-1457
Mailing address:
  • Phone: 925-355-7350
  • Fax: 925-244-1457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number258639
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number14027
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number1524
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: