Individual
TERESA D GEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1300 N MAIN STREET, RUSHVILLE, IN 46173
(765) 932-4111
(859) 341-7867
Mailing address
1300 N MAIN STREET, RUSHVILLE, IN 46173
(765) 932-4111
(859) 341-7867
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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