Individual
MRS. BETHANY DIANE GEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 OAKLEAF WAY, ALTOONA, WI 54720-2246
(800) 635-6197
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1122271-30
WI
367500000X
Certified Registered Nurse Anesthetist
2023002928
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910120017
—
MO
Enumeration date
06/29/2021
Last updated
07/31/2025
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