Rose Archie
Individual provider Active NPI Licensed Practical Nurse · Texarkana, AR
NPI 1104557693 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1104557693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L041100 (AR)
- Practice address
- 2511 E 24TH St Apt 1
Texarkana, AR 71854-4058 - Phone
- (903) 293-1256
- NPI assigned
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L041100 | AR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L041100 | AR | Yes |
Addresses
Primary practice location
2511 E 24TH St Apt 1
Texarkana, AR 71854-4058
Mailing address
2511 E 24TH St Apt 1
Texarkana, AR 71854-4058
Phone (903) 293-1256
Other providers in Texarkana, AR
- Joseph Andrews
- Venita Jones Angwenyi
- Anr1-LLC
- Joseph Arman Bongco Aquino
- Arcare
- Walter Archie Jr.
- Ark-la-Tex Health Center PC
- Arkansas CVS Pharmacy L.L.C.
- Arkansas Treatment Services, LLC
- Arkansas Treatment Services, LLC
All providers in Texarkana, AR · Licensed Practical Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.