Provider Demographics
NPI:1093767634
Name:REGIER, TERESA L (ARNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:L
Last Name:REGIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:709 W ORCHARD DR
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1766
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:8097 HARBORVIEW RD
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-9639
Practice Address - Country:US
Practice Address - Phone:360-371-5855
Practice Address - Fax:360-371-5857
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2012-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAP30007237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0205915OtherLABOR AND INDUSTRIES (REG
WA192942509OtherUS DEPT OF LABOR -SPADY #
WA192942507OtherUS DEPT OF LABOR -BBFM #
WA1753REOtherREGENCE BLUESHIELD
WA192942500OtherUS DEPT OF LABOR -FCN'S #
WA8940808OtherLABOR AND INDUSTRIES (CV)
WA423898082OtherGROUP HEALTH COOPERATIVE
WA9647660Medicaid
WA5379REOtherREGENCE BLUESHIELD
WA192942509OtherUS DEPT OF LABOR -SPADY #
WA9647660Medicaid