Provider Demographics
NPI:1427643402
Name:GEFFRARD, CONCEPTIA CHARMINE (RN)
Entity type:Individual
Prefix:MISS
First Name:CONCEPTIA
Middle Name:CHARMINE
Last Name:GEFFRARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 LAKE JACKSON CIR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5842
Mailing Address - Country:US
Mailing Address - Phone:407-272-8267
Mailing Address - Fax:
Practice Address - Street 1:887 LAKE JACKSON CIR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5842
Practice Address - Country:US
Practice Address - Phone:407-272-8267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9491074163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse