Healthcare Provider Details

I. General information

NPI: 1225308463
Provider Name (Legal Business Name): EILEEN S GEER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EILEEN S FALZONE CRNA

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 CAMPUS AVE
LEWISTON ME
04240-6030
US

IV. Provider business mailing address

35 MEDICAL CENTER PKWY
AUGUSTA ME
04330-8160
US

V. Phone/Fax

Practice location:
  • Phone: 207-777-8442
  • Fax: 207-777-8425
Mailing address:
  • Phone: 207-622-1959
  • Fax: 207-430-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN55431
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN637333
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRNA93052
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: