Archer, Theresa

Archer, Theresa is an individual health care provider with primary practice located at 2238 E Ginter Road Sunnyside Unified School District No 12, Tucson AZ 95706. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Archer, Theresa can be contacted via phone (520) 545-2137.

Contact Information

Primary practice address
2238 E Ginter Road Sunnyside Unified School District No 12 Tucson AZ 95706
Phone: (520) 545-2137
Fax: (520) 545-2120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN124417 Arizona

Profile Details

NPI number 1386707586
LBN Legal business name Archer, Theresa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 9th, 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 1386707586 NPPES
Arizona MEDICAID 963844

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