Provider Demographics
NPI:1336951003
Name:ARCHER, DELANEY MARLENE
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:MARLENE
Last Name:ARCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11308 SW 5TH ST APT 5814
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-0236
Mailing Address - Country:US
Mailing Address - Phone:214-578-6938
Mailing Address - Fax:
Practice Address - Street 1:11308 SW 5TH ST APT 5814
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-0236
Practice Address - Country:US
Practice Address - Phone:214-578-6938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer