Individual
CHRISTINE MARGARET DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD., CAROLINAS MEDICAL CENTER, CHARLOTTE, NC 28203
(704) 355-2000
Mailing address
4400 GOLF ACRES DRIVE, SUITE A, CHARLOTTE, NC 28208-5906
(704) 512-6428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
195055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195055
NORTH CAROLINA BOARD OF NURSING
NC
05
—
8054164
—
NC
05
—
NAN014
—
SC
Enumeration date
12/13/2010
Last updated
12/15/2017
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