Individual provider · Type 1 NPI

Shanquail H. Archibald, CRNP

Gerontology Nurse Practitioner · Moundville, AL

NPI number 1861815425 Active

Practice location

11889 Glen Ridge Blvd
Moundville, AL 35474-6368

Call (205) 561-7724 Map

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2013015363 (AL)
Registered Nurse 163W00000X1-127996 (AL)
Adult Health Nurse Practitioner 363LA2200X2013015363 (AL)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1861815425

Shanquail H. Archibald, CRNP's National Provider Identifier is 1861815425, issued on Jan 31, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Moundville, AL. The record was last updated on Mar 11, 2026.