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Individual

BRIAN GEYSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
51 OLD VILLAGE CIR, WALLINGFORD, CT 06492-4821
(203) 915-0524
Mailing address
51 OLD VILLAGE CIR, WALLINGFORD, CT 06492-4821

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
002116
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002116
APRN LICENSE
CT
Enumeration date
07/24/2006
Last updated
11/14/2008
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