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NPI Code Detail

MEDICARE: ARCHANA KAYASTHA

MEDICARE: ARCHANA KAYASTHA
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
1363LF0000XFamily Nurse Practitioner144966MT
2363LF0000XFamily Nurse PractitionerC-APN-0004712-C-NPCO

General Provider Information

NPI Number : 1437628567
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARCHANA KAYASTHA
Provider Business Mailing Address
First Line : PO BOX 746081
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6081
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5996 E 64TH AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-3317
Country : US
Telephone Number : 720-463-6758
Fax Number : 720-640-3314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2018
Last Update Date : 01/12/2023

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Directions to “ ARCHANA KAYASTHA ” Practice Location

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