Deshaunta Lynna Archer, RN, BSN
Nurse Practitioner, Family in Toledo, OH. Individual provider (NPI-1).
NPI number1255691069
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1255691069
- Entity type
- Individual (NPI-1)
- Name
- Ms. Deshaunta Lynna Archer
- Credential
- RN, BSN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2012
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 020503 | OH | Yes |
| 163W00000X | Registered Nurse | RN. 339774 | OH |
Practice location
2705 Sherbrooke RdToledo, OH 43606-3744
Phone 419-508-8321
Mailing address
2705 Sherbrooke RdToledo, OH 43606-3744
Phone 419-508-8321
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