Individual
LAUREN NICOLE DETWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
Mailing address
500 CARRAWAY XING STE 5117, CHAPEL HILL, NC 27516-7108
(307) 247-3732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09191710
NC
Other
Enumeration date
11/10/2019
Last updated
12/17/2019
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