Marilyn H Archer, BA
Individual provider Active NPI Case Manager/Care Coordinator · Williston, ND
NPI 1508085010 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1508085010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 316 2ND Ave W
Williston, ND 58801-5218 - Phone
- (701) 774-4600
- NPI assigned
- Apr 24, 2007
- 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
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
316 2ND Ave W
Williston, ND 58801-5218
Mailing address
316 2ND Ave W
Williston, ND 58801-5218
Phone (701) 774-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54516 | Medicaid | ND |
Other providers in Williston, ND
- Sarah Elizabeth Anderson
- Sheila O Anderson
- Wayne L Anderson
- Zachary S. Anderson
- Teresa Anfinson
- Arie Bauer DDS, PC
- Crystal Lynn Arnson
- Loye A Ashton
- Aspire Clinical Services
- Cassandra Dee Astvatsaturova
All providers in Williston, ND · Case Manager/Care Coordinator in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.