Provider Demographics
NPI:1528625118
Name:GEIGER, PATRICIA ANN (RN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:GEIGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:HAYWOOD
Other - Last Name:GEIGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2537 BUFFALO CHURCH RD APT 6
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-7080
Mailing Address - Country:US
Mailing Address - Phone:919-499-8016
Mailing Address - Fax:
Practice Address - Street 1:2537 BUFFALO CHURCH RD APT 6
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-7080
Practice Address - Country:US
Practice Address - Phone:919-499-8016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC143614163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC143614OtherNURSING LICENSE