JOANN DETWEILER CRNP NPI 1811950702

NPI Information

NPI: 1811950702
Provider Name: JOANN DETWEILER, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2112 HARRISBURG PIKE
SUITE 200
LANCASTER, PA
ZIP 17601
Phone: (717) 544-3059
Get Directions

Joann Detweiler, CRNP is an adult health nurse practitioner in Lancaster, PA. Joann Detweiler, CRNP NPI is 1811950702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2112 HARRISBURG PIKE
SUITE 200
LANCASTER, PA
ZIP 17601-644
Phone: (717) 544-3059
Fax: (717) 544-3638

The NPI 1811950702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 4/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	UP-004580-C	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50067561	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
2	006500RHN	MEDICARE PIN	PENNSYLVANIA
3	1560009	OTHER	PENNSYLVANIA	GATEWAY HEALTH PLAN
4	S49525	OTHER	PENNSYLVANIA	HEALTH AMERICA
5	S49525	MEDICARE UPIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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