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Individual

JOANN DETWEILER

Active
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Individual

JOANN DETWEILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
UP-004580-C
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1560009
GATEWAY HEALTH PLAN
PA
01
50067561
CAPITAL BLUE CROSS
PA
01
S49525
HEALTH AMERICA
PA
Enumeration date
04/11/2006
Last updated
04/10/2008
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.

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