Archer, Debrah Diane
Archer, Debrah Diane is an individual health care provider with primary practice located at 300 Main St Ste 201 , Grand Junction CO 81501-2404. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Archer, Debrah Diane can be contacted via phone (970) 250-0576.Contact Information
Primary practice address
300 Main St Ste 201
Grand Junction CO 81501-2404
Phone: (970) 250-0576
Fax: (833) 536-1752
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 176567 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 600379 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN.0005196NP | Colorado |
Profile Details
NPI number | 1457562704 |
---|---|
LBN Legal business name | Archer, Debrah Diane |
Credentials | RN, NP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2007 |
Last updated | Jun 11th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457562704 | NPPES |
Texas | MEDICAID | 0425670-01 | |
Texas | MEDICAID | 80927521 |
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