Kiernan, Geraldine E

Kiernan, Geraldine E is an sole proprietor health care provider with primary practice located at 715 N Weber St Suite 100, Colorado Springs CO 80903-1091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kiernan, Geraldine E can be contacted via phone (719) 473-6115.

Contact Information

Primary practice address
715 N Weber St Suite 100 Colorado Springs CO 80903-1091
Phone: (719) 473-6115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 123496 Colorado

Profile Details

NPI number 1386793834
LBN Legal business name Kiernan, Geraldine E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 5th, 2013 - about 12 years ago

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 1386793834 NPPES
Colorado MEDICAID 34658572

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