Individual provider · NPI-1
Dr. Holly Renee Archer, DNP, FNP-C
Nurse Practitioner, Family · Apo, AE
NPI number1487998308
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1487998308
- Entity type
- Individual (NPI-1)
- Name
- Dr. Holly Renee Archer
- Credential
- DNP, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2012
- Certification date
- Sep 16, 2022
- Last updated
- Sep 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP015258 | PA | Yes |
| 163W00000X | Registered Nurse | RN554156 | PA |
Other names
- Holly Renee Ishman (Former Name)
Practice location
Landstuhl Regional Medical CenterUnit 33100
Apo, AE 09180
Phone 314-566-5076
Mailing address
Landstuhl Regional Medical CenterUnit 33100
Apo, AE 09180
Phone 314-566-5076
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