Healthcare Provider Details

I. General information

NPI: 1033006655
Provider Name (Legal Business Name): CAITLIN C GEIGER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 NE 12TH ST
MOORE OK
73160-5807
US

IV. Provider business mailing address

1112 NW 5TH ST
NEWCASTLE OK
73065-4086
US

V. Phone/Fax

Practice location:
  • Phone: 405-237-9955
  • Fax:
Mailing address:
  • Phone: 505-330-3272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number224056
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR0116643
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: