MEDICARE: MRS. ANDREA ARCHER ARNP

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
1	363LA2200X	Adult Health Nurse Practitioner	APRN2563562	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN2563562	FL

General Provider Information

NPI Number	:	1720001605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA ARCHER ARNP

Provider Business Mailing Address
First Line	:	1020 NW 191ST AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-2920
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11327 OKEECHOBEE BLVD STE 2&3
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-8724
Country	:	US
Telephone Number	:	561-801-6920
Fax Number	:	561-801-6920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	01/21/2026

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