Healthcare Provider Details

I. General information

NPI: 1659654671
Provider Name (Legal Business Name): ROBERTA LYNN GEIGER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 SANFORD RD # RDL
WELLS ME
04090-5533
US

IV. Provider business mailing address

930 HESTER DR
CUMMING GA
30028-5486
US

V. Phone/Fax

Practice location:
  • Phone: 207-646-0521
  • Fax:
Mailing address:
  • Phone: 605-698-7606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR122957
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: