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CATHERINE TANOUE GEANON PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1649828062
Individual Registrant: CATHERINE TANOUE GEANON PA-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
209 E PAT RADY WAY BAINBRIDGE, IN 46105-5508 US
Tel: 765-301-7679 Fax: --
Tel: 765-301-7679 Fax: --
Contact information for business:
2510 SOLANA WAY UNIT 208 INDIANAPOLIS, IN 46240-6001 US
Tel: 414-737-6302 Fax: --
Tel: 414-737-6302 Fax: --
Registration Information:
NPI: 1649828062
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | IN | 10002764A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
