Provider Demographics
NPI:1932419900
Name:ARCHER, AMY LYNN (RN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:ARCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 HYETTS CORNER RD
Mailing Address - Street 2:COLONIAL SCHOOL DIST
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709
Mailing Address - Country:US
Mailing Address - Phone:302-449-3603
Mailing Address - Fax:302-376-6796
Practice Address - Street 1:318 E BASIN RD
Practice Address - Street 2:COLONIAL SCHOOL DISTRICT
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720
Practice Address - Country:US
Practice Address - Phone:302-323-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEL1-0017779163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool