Individual
MRS. ANDREA R ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-7198
(563) 421-7159
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-7198
(563) 421-7159
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
L-092677
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442392
—
IA
Enumeration date
02/27/2007
Last updated
07/08/2007
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