Healthcare Provider Details

I. General information

NPI: 1720250178
Provider Name (Legal Business Name): HELEN D GEILS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CVS DR
WOONSOCKET RI
02895-6146
US

IV. Provider business mailing address

2021 UPTON AVE S
MINNEAPOLIS MN
55405-2214
US

V. Phone/Fax

Practice location:
  • Phone: 401-770-1707
  • Fax: 401-652-9787
Mailing address:
  • Phone: 612-377-4205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP081316
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN24790
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR 206577-1
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: