Doctor Name: | MISS MARLES JEAN GEIST |
NPI Number: | 1073759486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, ARNP |
License Number: | AP30002101 |
Business Practice Address: | 1201 Bishop Rd Chehalis, WA - 985328711 |
Business Phone Number: | 3603451381 |
Business Fax Number: | 3603451382 |
Mailing Address: | 1201 Bishop Rd, CHEHALIS |
State: | WA |
Postal Code: | 985328711 |
Phone Number: | 3603451381 |
Fax Number: | 3603451382 |
NPI Enumeration Date: | 01/07/2009 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP30002101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |