Healthcare Provider Details

I. General information

NPI: 1902119225
Provider Name (Legal Business Name): CORTNEY A. GEISLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2010
Last Update Date: 08/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219 CENTRAL AVE SUITE 200
KEARNEY NE
68847-2958
US

IV. Provider business mailing address

21535 GROVE RD
RIVERDALE NE
68870-7038
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-2263
  • Fax:
Mailing address:
  • Phone: 308-388-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number59807
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number111146
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: