Provider Demographics
NPI:1952362683
Name:GEARY, ANNETTE CHRISTINE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:CHRISTINE
Last Name:GEARY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:ANNETTE
Other - Middle Name:CHRISTINE
Other - Last Name:RAHLF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, ARNP
Mailing Address - Street 1:3812 PHEASANT LN
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-5200
Mailing Address - Country:US
Mailing Address - Phone:319-236-3444
Mailing Address - Fax:319-236-0257
Practice Address - Street 1:3812 PHEASANT LN
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-5200
Practice Address - Country:US
Practice Address - Phone:319-236-3444
Practice Address - Fax:319-236-0257
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA104055363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIA0111OtherJOHN DEERE HEALTHCARE
IA0472373Medicaid
IA0472373Medicaid
IAIA0111OtherJOHN DEERE HEALTHCARE