Geisert, Mikala Marie
Geisert, Mikala Marie is an individual health care provider with primary practice located at 5625 S 62Nd St Ste 100 , Lincoln NE 68516-3558. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Geisert, Mikala Marie can be contacted via phone (402) 489-3835.Contact Information
Primary practice address
5625 S 62Nd St Ste 100
Lincoln NE 68516-3558
Phone: (402) 489-3835
Fax: (402) 489-5049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 112572 | Nebraska |
Profile Details
| NPI number | 1912484007 |
|---|---|
| LBN Legal business name | Geisert, Mikala Marie |
| Credentials | APRN DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2018 |
| Last updated | Mar 20th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912484007 | NPPES |
| Nebraska | MEDICAID | 47049487112 |
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