| Doctor Name: | HOLLY A ARCHER |
| NPI Number: | 1013372564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA.18539-NP |
| Business Practice Address: | 2195 Allentown Rd Lima, OH - 458051705 |
| Business Phone Number: | 4192272245 |
| Business Fax Number: | 4192291573 |
| Mailing Address: | Po Box 636372, CINCINNATI |
| State: | OH |
| Postal Code: | 452636930 |
| Phone Number: | 5139815123 |
| Fax Number: | 5139815015 |
| NPI Enumeration Date: | 12/29/2015 |
| NPI Last Update Date: | 03/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | COA.18539-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |