Provider Demographics
NPI:1447295720
Name:GEANEY, KERRIE FIELDS (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KERRIE
Middle Name:FIELDS
Last Name:GEANEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3012 N US HIGHWAY 301 STE 100
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-2208
Mailing Address - Country:US
Mailing Address - Phone:813-490-0099
Mailing Address - Fax:813-490-0204
Practice Address - Street 1:311 S CYPRESS RD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-7133
Practice Address - Country:US
Practice Address - Phone:954-781-7248
Practice Address - Fax:954-781-7313
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3317992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP91370Medicare UPIN