Provider Demographics
NPI:1306071204
Name:GEIST, ERNEST EDWIN (CRNA)
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:EDWIN
Last Name:GEIST
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:142 LINDSAY LN
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-4871
Mailing Address - Country:US
Mailing Address - Phone:727-786-5793
Mailing Address - Fax:727-772-5561
Practice Address - Street 1:5424 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4008
Practice Address - Country:US
Practice Address - Phone:727-845-1736
Practice Address - Fax:727-849-0759
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2019-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLRN 2742162367500000X
FLAPRN2742162367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered