Provider Demographics
NPI:1649630096
Name:GEER, BRANDON JACOB (MSN, RN, FNP-C, CEN)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:JACOB
Last Name:GEER
Suffix:
Gender:M
Credentials:MSN, RN, FNP-C, CEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 BETTERIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14428-9559
Mailing Address - Country:US
Mailing Address - Phone:585-269-4594
Mailing Address - Fax:
Practice Address - Street 1:8745 LAKE STREET RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:LE ROY
Practice Address - State:NY
Practice Address - Zip Code:14482-9344
Practice Address - Country:US
Practice Address - Phone:585-404-1566
Practice Address - Fax:585-699-1624
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-28
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY659015163W00000X
NY346248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse