Provider Demographics
NPI:1841486917
Name:ARCHER, JANETTE RUTH (RN)
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:RUTH
Last Name:ARCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANETTE
Other - Middle Name:
Other - Last Name:ARCHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:71 HANCOCK ST
Mailing Address - Street 2:APT 2
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-7018
Mailing Address - Country:US
Mailing Address - Phone:781-856-4417
Mailing Address - Fax:
Practice Address - Street 1:71 HANCOCK ST
Practice Address - Street 2:APT 2
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-7018
Practice Address - Country:US
Practice Address - Phone:781-856-4417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232502163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health