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:
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Health care specialties

SpecialtyCodeLicense #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 3 months 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 1457562704 NPPES
Texas MEDICAID 0425670-01
Texas MEDICAID 80927521

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