Individual
ASHLEY ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6888
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9278617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11005699
FL MEDICAL LICENSE
FL
Enumeration date
03/10/2020
Last updated
03/10/2020
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