Archer, Gretchen

Archer, Gretchen is an individual health care provider with primary practice located at 700 E Manitoba Ave Ste 101 , Ellensburg WA 98926-3885. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Archer, Gretchen can be contacted via phone (509) 925-6100.

Contact Information

Primary practice address
700 E Manitoba Ave Ste 101 Ellensburg WA 98926-3885
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004042 Washington

Profile Details

NPI number 1184690844
LBN Legal business name Archer, Gretchen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Apr 5th, 2021 - about 3 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 1184690844 NPPES
Washington MEDICAID 9618398

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