MISS MARILYN ARCHIBALD REGISTERED NURSE NPI 1750791612

NPI Information

NPI: 1750791612
Provider Name: MISS MARILYN ARCHIBALD, REGISTERED NURSE
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
13 CLEVELAND ST
VALLEY STREAM
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 823-0739
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MISS Marilyn Archibald, REGISTERED NURSE is a medical-surgical registered nurse in Valley Stream, NY. MISS Marilyn Archibald, REGISTERED NURSE NPI is 1750791612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13 CLEVELAND ST
VALLEY STREAM
VALLEY STREAM, NY
ZIP 11580-003
Phone: (516) 823-0739
Fax: (516) 823-1550

The enumeration date for this NPI number is 4/30/2014 and was last updated on 4/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		22 683025	NEW YORK	No
2	163WM0705X	Registered Nurse	Medical-Surgical	22. 683025	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN NO. 22 683025	OTHER	NEW YORK	REGISTERED NURSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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