Provider Demographics
NPI:1629853114
Name:GEERDINK, NANDITA SANKARAN
Entity Type:Individual
Prefix:MRS
First Name:NANDITA
Middle Name:SANKARAN
Last Name:GEERDINK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 UNIVERSITY BAY DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2250
Mailing Address - Country:US
Mailing Address - Phone:415-269-4493
Mailing Address - Fax:
Practice Address - Street 1:1001 UNIVERSITY BAY DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2250
Practice Address - Country:US
Practice Address - Phone:415-269-4493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional