Individual
MS. BRENDA FAITH GEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6702 W BETHANY HOME RD STE 1314&15, GLENDALE, AZ 85303-4402
(623) 435-7000
(623) 435-3947
Mailing address
18404 N TATUM BLVD, STE 101C, PHOENIX, AZ 85032-1511
(602) 485-7475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726145
—
AZ
01
—
Z170953
MEDICARE PTAN
AZ
Enumeration date
11/20/2012
Last updated
12/05/2019
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