| Michael Briggs Archer Sr, NP | |
|
1208 Luther Street, Eads, CO 81036 | |
| (719) 438-5401 | |
| Not Available |
| Full Name | Michael Briggs Archer Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1208 Luther Street, Eads, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700413895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0001982-C-NP (Colorado) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APRN11015736 (Florida) | Secondary |
| Entity Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Entity Name | Hni Hospital Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144851411 PECOS PAC ID: 0244661353 Enrollment ID: O20200505001799 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Briggs Archer Sr, NP 5701 Tydan Ln, Southside, AL 35907-5919 Ph: (256) 613-7417 | Michael Briggs Archer Sr, NP 1208 Luther Street, Eads, CO 81036 Ph: (719) 438-5401 |
Rachel Bletzacker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 Luther St, Eads, CO 81036 Phone: 719-438-2251 Fax: 719-438-2254 |