Provider Demographics
NPI:1962796540
Name:GEETER, PAULA EVETTE (RN)
Entity type:Individual
Prefix:MISS
First Name:PAULA
Middle Name:EVETTE
Last Name:GEETER
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 1:4062 ROSEBURY LN
Mailing Address - Street 2:
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637-7310
Mailing Address - Country:US
Mailing Address - Phone:662-280-3810
Mailing Address - Fax:
Practice Address - Street 1:4062 ROSEBURY LN
Practice Address - Street 2:
Practice Address - City:HORN LAKE
Practice Address - State:MS
Practice Address - Zip Code:38637-7310
Practice Address - Country:US
Practice Address - Phone:662-280-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR867365163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult