Fendley, Geoffrey S

Fendley, Geoffrey S is an individual health care provider with primary practice located at 1001 Gause Blvd , Slidell LA 70458-2939. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fendley, Geoffrey S can be contacted via phone (985) 280-2200.

Contact Information

Primary practice address
1001 Gause Blvd Slidell LA 70458-2939
Phone: (985) 280-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN070040 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP04663 Louisiana

Profile Details

NPI number 1013910538
LBN Legal business name Fendley, Geoffrey S
Credentials MSNA, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Feb 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013910538 NPPES
Louisiana MEDICAID 1621064

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