Individual provider · Type 1 NPI

Christyn Michelle O'Shannan N. Archer

Student in an Organized Health Care Education/Training Program · Odessa, TX

NPI number 1083417349 Active

Practice location

701 W. 5th Street
Odessa, TX 79763

Mailing address

701 W 5th Street
Odessa, TX 79763

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083417349

Christyn Michelle O'Shannan N. Archer's National Provider Identifier is 1083417349, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Odessa, TX. The record was last updated on Aug 19, 2025.