Physician Compare National (NPI:1831747187)

HEALTHCARE PROVIDER: COLIN ARCHER APN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1831747187
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890128821
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191205002608
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ARCHER
	Individual professional last name
Provider First Name	COLIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	108 STRAUBE CTR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE I 17
	Group Practice or individual's line 2 address
City	PENNINGTON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	085341448
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y