Individual
KRISTEN E DETWEILER SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704283503
MI
363L00000X
Nurse Practitioner
R 160910-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00646034
RAILROAD MEDICARE
MN
Enumeration date
08/15/2008
Last updated
06/03/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up