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Individual

MS. COURTNEY LYNNE ARCHAMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-4220
(910) 907-8116
Mailing address
34 CHAUNCEY CIR, CHAPEL HILL, NC 27516-4256
(248) 854-8204

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704235754
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
0024188184
VA
367500000X
Certified Registered Nurse Anesthetist
5424
NC
367500000X
Certified Registered Nurse Anesthetist
RNA143004
ME

Other

Enumeration date
01/15/2010
Last updated
12/10/2024
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