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NPI Code Detail

MEDICARE: MS. LINDA DENISE GEISAKA CFNP

MEDICARE: MS. LINDA DENISE GEISAKA CFNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024166713VA

General Provider Information

NPI Number : 1154381556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA DENISE GEISAKA CFNP
Provider Business Mailing Address
First Line : 4453 PAUL JONES LN
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3128
Country : US
Telephone Number : 757-953-8872
Fax Number :
Provider Business Practice Location Address
First Line : 1721 ADMIRAL TAUSSIG BLVD
Second Line :
City : NORFOLK
State : VA
Zip : 23511-2802
Country : US
Telephone Number : 757-953-8872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 07/08/2007

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