Provider Demographics
NPI:1073759486
Name:GEIST, MARLES JEAN (RN, ARNP)
Entity Type:Individual
Prefix:MISS
First Name:MARLES
Middle Name:JEAN
Last Name:GEIST
Suffix:
Gender:F
Credentials:RN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-8711
Mailing Address - Country:US
Mailing Address - Phone:360-345-1381
Mailing Address - Fax:360-345-1382
Practice Address - Street 1:1201 BISHOP RD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-8711
Practice Address - Country:US
Practice Address - Phone:360-345-1381
Practice Address - Fax:360-345-1382
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002101363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health