Provider Demographics
NPI:1841089513
Name:GEISELMANN, BRYNNA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:BRYNNA
Middle Name:
Last Name:GEISELMANN
Suffix:
Gender:
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WOODCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06035-2122
Mailing Address - Country:US
Mailing Address - Phone:315-879-8934
Mailing Address - Fax:
Practice Address - Street 1:11 WOODCLIFF DR
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06035-2122
Practice Address - Country:US
Practice Address - Phone:315-879-8934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10.164841163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant