MEDICARE: DEBORAH A. GEISLER CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	ARNP9186182	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356301592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A. GEISLER CRNA

Provider Business Mailing Address
First Line	:	1605 LAKES PARKWAY
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-5858
Country	:	US
Telephone Number	:	904-819-4478
Fax Number	:	904-819-4993

Provider Business Practice Location Address
First Line	:	1605 LAKES PKWY
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-5858
Country	:	US
Telephone Number	:	904-819-4478
Fax Number	:	904-819-4993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/08/2007

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