Healthcare Provider Details
I. General information
NPI: 1780980102
Provider Name (Legal Business Name): SHEENA K GEER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/02/2011
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
407 MAIN ST STE 2
BELPRE OH
45714-1615
US
IV. Provider business mailing address
1212 GARFIELD AVE SUITE 300
PARKERSBURG WV
26101-3247
US
V. Phone/Fax
- Phone: 304-865-3600
- Fax:
- Phone: 304-865-3600
- Fax: 304-865-3700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 68395 |
| License Number State | WV |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 12060 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: