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NPI Code Detail

MEDICARE: TERESA GEISINGER

MEDICARE:   TERESA  GEISINGER
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 Practitioner95002249CA

General Provider Information

NPI Number : 1811384365
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA GEISINGER
Provider Business Mailing Address
First Line : 31625 DE PORTOLA RD STE 101
Second Line :
City : TEMECULA
State : CA
Zip : 92592-2770
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 31625 DE PORTOLA RD STE 101
Second Line :
City : TEMECULA
State : CA
Zip : 92592-2770
Country : US
Telephone Number : 951-501-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2015
Last Update Date : 01/15/2025

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Directions to “ TERESA GEISINGER ” Practice Location

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