Doctor Name: | MRS. ANDREA R ARCHER |
NPI Number: | 1023145208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | L-092677 |
Business Practice Address: | 1227 E Rusholme St Davenport, IA - 528032459 |
Business Phone Number: | 5634217198 |
Business Fax Number: | 5634217159 |
Mailing Address: | 1227 E Rusholme St, DAVENPORT |
State: | IA |
Postal Code: | 528032459 |
Phone Number: | 5634217198 |
Fax Number: | 5634217159 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | L-092677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |