Provider Demographics
NPI:1073535225
Name:GELLER, ALLISON FAYE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:FAYE
Last Name:GELLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:FAYE
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2 SOUTHSIDE RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-5117
Mailing Address - Country:US
Mailing Address - Phone:603-562-5578
Mailing Address - Fax:207-363-0503
Practice Address - Street 1:2 SOUTHSIDE RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-5117
Practice Address - Country:US
Practice Address - Phone:603-562-5578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101-0032213363L00000X
NH053064-23-03363LF0000X
MEAP111087363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner