Provider Demographics
NPI:1902119225
Name:GEISLER, CORTNEY A (FNP-C)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:A
Last Name:GEISLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21535 GROVE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:NE
Mailing Address - Zip Code:68870-7038
Mailing Address - Country:US
Mailing Address - Phone:308-388-5030
Mailing Address - Fax:
Practice Address - Street 1:3219 CENTRAL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2958
Practice Address - Country:US
Practice Address - Phone:308-865-2263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE59807163W00000X
NE111146363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse