Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlin Elizabeth Archer

Individual provider Licensed Practical Nurse · NPI 1508390873

Kaitlin Elizabeth Archer is a Licensed Practical Nurse in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

28 Croydon Ave
Ronkonkoma, NY 11779-1927
Phone: (631) 428-6879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 325513 (NY)

Record details

NPI number1508390873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2017
Last updated in NPPESApril 13, 2017

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