Archer, Reine Mary
Archer, Reine Mary is an individual health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Archer, Reine Mary can be contacted via phone (631) 689-8333.Contact Information
Primary practice address
101 Nicolls Rd
Stony Brook NY 11794-0001
Phone: (631) 689-8333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F342125-01 | New York |
Profile Details
| NPI number | 1376107748 |
|---|---|
| LBN Legal business name | Archer, Reine Mary |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2019 |
| Last updated | Sep 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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