Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP007796 | PA |
NPI | 1053555094 |
---|---|
Provider Name | Susan L Geiger |
First Address | Philadelphia, PA 19103-6711 |
Second Address | Bensalem, PA 19020-2983 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2009 |
Last Update Date | 31/01/2019 |