Provider Demographics
NPI:1942071840
Name:GEILMAN, ELIZABETH PACKER
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PACKER
Last Name:GEILMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 RIVER TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9057
Mailing Address - Country:US
Mailing Address - Phone:801-651-0841
Mailing Address - Fax:
Practice Address - Street 1:1424 RIVER TRAIL DR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9057
Practice Address - Country:US
Practice Address - Phone:801-651-0841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker