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NPI Code Detail

MEDICARE: MISS STEPHANIE ARCHER RN-BSN

MEDICARE: MISS STEPHANIE ARCHER RN-BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse813597-01NY

General Provider Information

NPI Number : 1194655134
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS STEPHANIE ARCHER RN-BSN
Provider Business Mailing Address
First Line : 20 GRECIAN GARDENS DR APT A
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-2636
Country : US
Telephone Number : 585-743-6693
Fax Number :
Provider Business Practice Location Address
First Line : 20 GRECIAN GARDENS DR APT A
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-2636
Country : US
Telephone Number : 585-743-6693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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