Basic Information
| Provider Information | |||||||||
| NPI: | 1609201870 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GEIER | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | ROSE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN, BSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1311 N SHADELAND AVE | ||||||||
| Address2: | H | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462193660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3173520933 | ||||||||
| FaxNumber: | 3173578543 | ||||||||
| Practice Location | |||||||||
| Address1: | 1311 N SHADELAND AVE | ||||||||
| Address2: | H | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462193660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3173520933 | ||||||||
| FaxNumber: | 3173578543 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2013 | ||||||||
| LastUpdateDate: | 09/06/2013 | ||||||||
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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 | 163W00000X | 28058655A | IN | Y | Nursing Service Providers | Registered Nurse |
No ID Information.