Provider Demographics
NPI:1972592459
Name:ROBERTSON-GEESIN, ANNETTE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:
Last Name:ROBERTSON-GEESIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 GANNET LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-1335
Mailing Address - Country:US
Mailing Address - Phone:215-297-5147
Mailing Address - Fax:
Practice Address - Street 1:5612 EASTON RD
Practice Address - Street 2:
Practice Address - City:PLUMSTEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:18949
Practice Address - Country:US
Practice Address - Phone:215-766-8844
Practice Address - Fax:215-766-0733
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA001076L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MR0204848OtherDEA
118512EVMMedicare ID - Type Unspecified
R06146Medicare UPIN