Individual
ANDREA DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
1200 SPARTANBURG HWY, SUITE 100, HENDERSONVILLE, NC 28792-5855
(828) 692-4223
Mailing address
1200 SPARTANBURG HWY, SUITE 100, HENDERSONVILLE, NC 28792-5855
(828) 692-4223
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
230575
NC
Other
Enumeration date
07/15/2015
Last updated
10/24/2016
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