Individual
MR. NICHOLAS ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.N.
Contact information
Practice address
18205 N 51ST AVE, SUITE 129, GLENDALE, AZ 85308-1490
(623) 398-8554
(623) 398-8278
Mailing address
18205 N 51ST AVE, SUITE 129, GLENDALE, AZ 85308-1490
(623) 398-8554
(623) 398-8278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN201497
AZ
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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