MARK ELNO ARCHAMBAULT PA-C NPI 1881825917

NPI Information

NPI: 1881825917
Provider Name: MARK ELNO ARCHAMBAULT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
DEPARTMENT OF PHYSICIAN ASSISTANT STUDIES
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2028
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Mark Elno Archambault, PA-C is a medical physician assistant in Winston Salem, NC. Mark Elno Archambault, PA-C NPI is 1881825917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

DEPARTMENT OF PHYSICIAN ASSISTANT STUDIES
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-006
Phone: (336) 716-2028
Fax: (336) 716-4432

The enumeration date for this NPI number is 8/6/2009 and was last updated on 8/6/2009.

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	363AM0700X	Physician Assistant	Medical	0010-01083	NORTH CAROLINA	Yes

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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