Individual
ETHEL AUDREY ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 OLDE WORTHINGTON RD STE 200, WESTERVILLE, OH 43082-9127
(973) 289-5713
Mailing address
470 OLDE WORTHINGTON RD STE 200, WESTERVILLE, OH 43082-9127
(973) 289-5713
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN475673
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0041225
OH
Other
Enumeration date
02/29/2024
Last updated
01/22/2026
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