Healthcare Provider Details

I. General information

NPI: 1710718648
Provider Name (Legal Business Name): LAUREN GEISSINGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 DELAWARE AVE APT 322
NORFOLK VA
23508-2802
US

IV. Provider business mailing address

414 DELAWARE AVE APT 322
NORFOLK VA
23508-2802
US

V. Phone/Fax

Practice location:
  • Phone: 757-575-5139
  • Fax:
Mailing address:
  • Phone: 757-575-5139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number0001281452
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: