Provider Demographics
NPI:1184123267
Name:REIGER, ALEXIS LAUREN (WHNP)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:LAUREN
Last Name:REIGER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:MS
Other - First Name:ALEXIS
Other - Middle Name:LAUREN
Other - Last Name:KOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:1725 MONTGOMERY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-1019
Mailing Address - Country:US
Mailing Address - Phone:415-666-1250
Mailing Address - Fax:415-398-2696
Practice Address - Street 1:1725 MONTGOMERY ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-1019
Practice Address - Country:US
Practice Address - Phone:415-666-1250
Practice Address - Fax:415-398-2696
Is Sole Proprietor?:No
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008518363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology