Archer, Andrea R

Archer, Andrea R is an individual health care provider with primary practice located at 1227 E Rusholme St , Davenport IA 52803-2459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Archer, Andrea R can be contacted via phone (563) 421-7198.

Contact Information

Primary practice address
1227 E Rusholme St Davenport IA 52803-2459
Phone: (563) 421-7198
Fax: (563) 421-7159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X L-092677 Iowa

Profile Details

NPI number 1023145208
LBN Legal business name Archer, Andrea R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023145208 NPPES
Iowa MEDICAID 0442392

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