Provider Demographics
NPI:1770828568
Name:GEYER, RACHAEL E (FNP-BC)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:E
Last Name:GEYER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ATWELL RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1301
Mailing Address - Country:US
Mailing Address - Phone:076-264-3036
Mailing Address - Fax:607-264-9326
Practice Address - Street 1:2 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHERRY VALLEY
Practice Address - State:NY
Practice Address - Zip Code:13320-3735
Practice Address - Country:US
Practice Address - Phone:607-264-3036
Practice Address - Fax:607-264-9326
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY336646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily