Basic Information
| Provider Information | |||||||||
| NPI: | 1013571231 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GEKAS | ||||||||
| FirstName: | ANDREA | ||||||||
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| Credential: | CNM, WHNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19078 CHAPARRAL DR | ||||||||
| Address2: | |||||||||
| City: | PENN VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959469686 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6508236540 | ||||||||
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| Practice Location | |||||||||
| Address1: | 844 OLD TUNNEL RD | ||||||||
| Address2: | |||||||||
| City: | GRASS VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959458524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302734984 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2019 | ||||||||
| LastUpdateDate: | 04/23/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP1700X | 236026 | CA | N | Nursing Service Providers | Registered Nurse | Perinatal | 163WW0101X | 95011658 | CA | Y | Nursing Service Providers | Registered Nurse | Women's Health Care, Ambulatory |
No ID Information.