Individual
OLIVIA WULF DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
8604 ROYTON CIR, RALEIGH, NC 27613-8593
(412) 972-0597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0010-02061
NC
363LG0600X
Gerontology Nurse Practitioner
AG05220050
NC
Other
Enumeration date
06/03/2022
Last updated
10/03/2025
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