MEDICARE: JANET M. GEERTSEMA ARNP

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	363L00000X	Nurse Practitioner	S-049369	IA

General Provider Information

NPI Number	:	1881644839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET M. GEERTSEMA ARNP

Provider Business Mailing Address
First Line	:	788 8TH AVE SE
Second Line	:	SUITE 400
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2107
Country	:	US
Telephone Number	:	319-832-2328
Fax Number	:

Provider Business Practice Location Address
First Line	:	788 8TH AVE SE
Second Line	:	SUITE 400
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2107
Country	:	US
Telephone Number	:	319-832-2328
Fax Number	:

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	02/17/2014

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