Provider Demographics
NPI:1508971573
Name:GEIGER, KAREN J (NP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:J
Last Name:GEIGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:J
Other - Last Name:LINDAHL, LINDAHL GEIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:100 E CAMPUS VIEW BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-8628
Mailing Address - Country:US
Mailing Address - Phone:614-623-3637
Mailing Address - Fax:920-433-8135
Practice Address - Street 1:2941 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-5517
Practice Address - Country:US
Practice Address - Phone:920-336-4096
Practice Address - Fax:920-336-8093
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI124702-030363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1508971573Medicaid
WI072010030Medicare PIN