Healthcare Provider Details

I. General information

NPI: 1437779857
Provider Name (Legal Business Name): GEANGINA DAY NP- FAMILY HEALTH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2020
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 TURKEY RIDGE DR
KUNKLETOWN PA
18058-8163
US

IV. Provider business mailing address

271 TURKEY RIDGE DR
KUNKLETOWN PA
18058-8163
US

V. Phone/Fax

Practice location:
  • Phone: 570-977-6257
  • Fax:
Mailing address:
  • Phone: 570-977-6257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN608439
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License NumberRN608439
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP024659
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01313300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: