Provider Demographics
NPI:1598289100
Name:ARCHER, NATALIE (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:ARCHER
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 TOWER ST APT 2
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3704
Mailing Address - Country:US
Mailing Address - Phone:413-522-8325
Mailing Address - Fax:
Practice Address - Street 1:57 TOWER ST APT 2
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-3704
Practice Address - Country:US
Practice Address - Phone:413-522-8325
Practice Address - Fax:413-522-8325
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist