Provider Demographics
NPI:1750021200
Name:GEISLER, MARIAH ANN
Entity Type:Individual
Prefix:
First Name:MARIAH
Middle Name:ANN
Last Name:GEISLER
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 1:8210 SE RIVERVIEW LN
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-2315
Mailing Address - Country:US
Mailing Address - Phone:360-947-8803
Mailing Address - Fax:
Practice Address - Street 1:8210 SE RIVERVIEW LN
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-2315
Practice Address - Country:US
Practice Address - Phone:360-947-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula