Individual
ELISA ANNE ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 626-7160
Mailing address
2911 FALMOUTH DR, LOUISVILLE, KY 40205-2805
(502) 439-1439
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3012709
KY
Other
Enumeration date
09/25/2018
Last updated
12/17/2018
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