Individual
LEAH MARY GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C IFMCP
Contact information
Practice address
347 FIFTH AVE, SUITE 1402-342, NEW YORK, NY 10016-5034
(646) 849-2782
(646) 349-0133
Mailing address
347 FIFTH AVE, SUITE 1402-342, NEW YORK, NY 10016-5034
(646) 849-2782
(646) 349-0133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207439
CT
163WE0003X
Emergency Registered Nurse
688126
NY
163WH0200X
Home Health Registered Nurse
RN738747
PA
363L00000X
Nurse Practitioner
11894
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
308726
NY
363LG0600X
Gerontology Nurse Practitioner
SP023435
PA
Other
Enumeration date
07/07/2017
Last updated
05/09/2023
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