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Individual
TY MITCHELL GEESEY
Active
Individual
TY MITCHELL GEESEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP024906
PA
363LA2200X
Adult Health Nurse Practitioner
SP024906
PA
363LC1500X
Community Health Nurse Practitioner
SP024906
PA
363LF0000X
Family Nurse Practitioner
Primary
SP024906
PA
363LP0200X
Pediatric Nurse Practitioner
SP024906
PA
363LP2300X
Primary Care Nurse Practitioner
SP024906
PA
Other
Enumeration date
02/13/2022
Last updated
09/04/2025
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