Individual provider · NPI-1

Isaac M Archibeque, FNP-BC

Nurse Practitioner, Family · East Liverpool, OH

NPI number1124882634

StatusActive

Last updated in NPPESFeb 6, 2024

Details

NPI: 1124882634
Entity type: Individual (NPI-1)
Name: Isaac M Archibeque
Credential: FNP-BC
Sex: Male
Sole proprietor: Yes
Enumeration date: Feb 6, 2024
Certification date: Feb 6, 2024
Last updated: Feb 6, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	APRN.CNP.0035241	OH	Yes

Practice location

48462 Bell School Rd
East Liverpool, OH 43920-9625

Phone 724-773-1995

Mailing address

48462 Bell School Rd
East Liverpool, OH 43920-9625

Phone 724-773-1995

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