Provider Demographics
NPI:1629300769
Name:GEYER, TAMMY J (LPN)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:J
Last Name:GEYER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 SOUTHERN RD
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:OH
Mailing Address - Zip Code:43767-9716
Mailing Address - Country:US
Mailing Address - Phone:740-819-7382
Mailing Address - Fax:
Practice Address - Street 1:580 SOUTHERN RD
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:OH
Practice Address - Zip Code:43767-9716
Practice Address - Country:US
Practice Address - Phone:740-819-7382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.136394164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse