Healthcare Provider Details
I. General information
NPI: 1053555094
Provider Name (Legal Business Name): SUSAN L GEIGER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/21/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2185 GALLOWAY RD
BENSALEM PA
19020-2983
US
IV. Provider business mailing address
1632 PINE ST
PHILADELPHIA PA
19103-6711
US
V. Phone/Fax
- Phone: 610-481-0481
- Fax: 610-481-0486
- Phone: 610-481-0481
- Fax: 610-481-0486
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | SP007796 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: