Provider Demographics
NPI:1528108982
Name:GEIGER, SERENA (CRNA)
Entity type:Individual
Prefix:
First Name:SERENA
Middle Name:
Last Name:GEIGER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 GILLIAN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-9444
Mailing Address - Country:US
Mailing Address - Phone:352-398-6453
Mailing Address - Fax:813-844-4972
Practice Address - Street 1:2525 DESALES AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1161
Practice Address - Country:US
Practice Address - Phone:423-495-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3263932367500000X
TN30493367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG4213OtherBCBS
FLAC997WOtherMEDICARE ATTACHED TO BAS
FLAC997YOtherMEDICARE GTBA REASSIGN
FLP00391202OtherMEDICARE RAILROAD
FL309120100Medicaid
FL309120100Medicaid