Doctor Name: | CONSTANCE SUE GEERS |
NPI Number: | 1639155229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 4704157169 |
Business Practice Address: | 135 Lake St Roscommon, MI - 486537658 |
Business Phone Number: | 9892758931 |
Business Fax Number: | 9892754074 |
Mailing Address: | 135 Lake St, ROSCOMMON |
State: | MI |
Postal Code: | 486537658 |
Phone Number: | 9892758931 |
Fax Number: | 9892754074 |
NPI Enumeration Date: | 12/16/2005 |
NPI Last Update Date: | 01/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704157169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |