Healthcare Provider Details

I. General information

NPI: 1932336344
Provider Name (Legal Business Name): CHRISTOPHER LEE ARCHER APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 E JEWELL AVE
DENVER CO
80222-4504
US

IV. Provider business mailing address

4155 E JEWELL AVE
DENVER CO
80222-4504
US

V. Phone/Fax

Practice location:
  • Phone: 720-310-2773
  • Fax:
Mailing address:
  • Phone: 720-310-2773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number26485.976
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN.0995167-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26485.0976
License Number StateWY
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0995167-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: