Provider Demographics
NPI:1083462279
Name:GEIGER, DEBRA ANN (EDD, PMHNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:GEIGER
Suffix:
Gender:F
Credentials:EDD, PMHNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2903
Mailing Address - Country:US
Mailing Address - Phone:917-734-4803
Mailing Address - Fax:
Practice Address - Street 1:179 POST RD W
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4602
Practice Address - Country:US
Practice Address - Phone:203-450-4882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-11
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13147363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health