Basic Information
| Provider Information | |||||||||
| NPI: | 1093767634 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REGIER | ||||||||
| FirstName: | TERESA | ||||||||
| MiddleName: | L. | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 709 W ORCHARD DR | ||||||||
| Address2: | SUITE #4 | ||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982251766 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603188800 | ||||||||
| FaxNumber: | 3603181085 | ||||||||
| Practice Location | |||||||||
| Address1: | 8097 HARBORVIEW RD | ||||||||
| Address2: | |||||||||
| City: | BLAINE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982309639 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603715855 | ||||||||
| FaxNumber: | 3603715857 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 07/25/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | AP30007237 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 0205915 | 01 | WA | LABOR AND INDUSTRIES (REG | OTHER | 192942509 | 01 | WA | US DEPT OF LABOR -SPADY # | OTHER | 192942507 | 01 | WA | US DEPT OF LABOR -BBFM # | OTHER | 1753RE | 01 | WA | REGENCE BLUESHIELD | OTHER | 192942500 | 01 | WA | US DEPT OF LABOR -FCN'S # | OTHER | 8940808 | 01 | WA | LABOR AND INDUSTRIES (CV) | OTHER | 423898082 | 01 | WA | GROUP HEALTH COOPERATIVE | OTHER | 9647660 | 05 | WA | MEDICAID | 5379RE | 01 | WA | REGENCE BLUESHIELD | OTHER |