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Individual

TERESA D GEIS

Active
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Individual

TERESA D GEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1119717
KY
163W00000X
Registered Nurse
28133942A
IN
163W00000X
Registered Nurse
344911
OH
367500000X
Certified Registered Nurse Anesthetist
088857
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
28133942A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00001124000
BUREAU OF WORKERS COMPENSATION
05
0062877
OH
05
201058010
IN
05
7100188260
KY
Enumeration date
11/17/2011
Last updated
06/08/2020
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