NPI 1114045614

Virginia Ruth Archie

Practitioner Foster Care Agency Phoenix, AZ

Practice location

Address: 1502 E Carson Rd, Phoenix, AZ 85042-5621
Phone: (602) 276-7690

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 1372 (AS)

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X Licence 1372 (AZ)

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Registry record

NPI: 1114045614
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2007
Record last updated: 13 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.