Provider Demographics
NPI:1801258967
Name:GECK, EMMA NICOLE
Entity type:Individual
Prefix:MISS
First Name:EMMA
Middle Name:NICOLE
Last Name:GECK
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 1:8416 RANCHO VERANO CT NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-5813
Mailing Address - Country:US
Mailing Address - Phone:505-908-8435
Mailing Address - Fax:
Practice Address - Street 1:8416 RANCHO VERANO CT NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-5813
Practice Address - Country:US
Practice Address - Phone:505-908-8435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-27
Last Update Date:2016-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other