Constance Sue Geers, FNP
Individual provider Active NPI Family Nurse Practitioner · Roscommon, MI
NPI 1639155229 · NPPES record last updated Jan 24, 2011
Key facts
- NPI
- 1639155229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704157169 (MI)
- Practice address
- 135 Lake St
Roscommon, MI 48653-7658 - Phone
- (989) 275-8931
- Fax
- (989) 275-4074
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Interoperability endpoints
- cgeers111445@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704157169 | MI | Yes |
Addresses
Primary practice location
135 Lake St
Roscommon, MI 48653-7658
Mailing address
135 Lake St
Roscommon, MI 48653-7658
Phone (989) 275-8931
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4090490 | Medicaid | MI |
Other providers in Roscommon, MI
- Gordon Eden
- Edens Family Dentistry PLLC
- Curtis James Edens
- Sandra Michelle Fiebelkorn
- Nicole Katherine Filter
- Heather Goodrow
- Nicole Lynn Grace
- Angela Griffis
- Andrew Gronski
- Steven Carl Haertel
All providers in Roscommon, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.