Provider Demographics
NPI:1417991589
Name:GEIMAN, EMILY JEAN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JEAN
Last Name:GEIMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:JEAN
Other - Last Name:MOSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:409 SOUTH SECOND STREET
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 LEMOYNE SQ
Practice Address - Street 2:SUITE 201
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1230
Practice Address - Country:US
Practice Address - Phone:717-737-4511
Practice Address - Fax:717-909-6659
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010117367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103112881001Medicaid
PA50056115OtherCAPITAL BLUE CROSS
PAMO1794275OtherHIGHMARK BLUE SHIELD
PA1095061OtherAETNA/USHC HMO
PAQ63185Medicare UPIN
PA7657734OtherAETNA PPO,