Provider Demographics
NPI:1609201870
Name:GEIER, CYNTHIA ROSE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ROSE
Last Name:GEIER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 N SHADELAND AVE
Mailing Address - Street 2:H
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-3660
Mailing Address - Country:US
Mailing Address - Phone:317-352-0933
Mailing Address - Fax:317-357-8543
Practice Address - Street 1:1311 N SHADELAND AVE
Practice Address - Street 2:H
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3660
Practice Address - Country:US
Practice Address - Phone:317-352-0933
Practice Address - Fax:317-357-8543
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28058655A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse