Healthcare Provider Details

I. General information

NPI: 1659625564
Provider Name (Legal Business Name): REECE DANGAR THERRIEN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERESA DANGAR HARTER FNP

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EMBARCADERO CTR LBBY LEVEL
SAN FRANCISCO CA
94111-3823
US

IV. Provider business mailing address

2 EMBARCADERO CTR LBBY LEVEL
SAN FRANCISCO CA
94111-3823
US

V. Phone/Fax

Practice location:
  • Phone: 415-578-3100
  • Fax:
Mailing address:
  • Phone: 415-658-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number087690-23
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-1496
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: