MR. GEOFFREY GEORGE GEPHART FNP-BC NPI 1477800829

NPI Information

NPI: 1477800829
Provider Name: MR. GEOFFREY GEORGE GEPHART, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
10012 AUBURN PARK DR
FORT WAYNE, IN
ZIP 46825
Phone: (317) 644-8457
Get Directions

MR. Geoffrey George Gephart, FNP-BC is a family nurse practitioner in Fort Wayne, IN. MR. Geoffrey George Gephart, FNP-BC NPI is 1477800829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10012 AUBURN PARK DR
FORT WAYNE, IN
ZIP 46825-389
Phone: (317) 644-8457

The enumeration date for this NPI number is 8/3/2012 and was last updated on 8/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	28185645A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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