LAUREN NICOLE DETWEILER


Address: 1011 Rock Quarry Rd, Raleigh, NC 27610-3825
Phone: 9198333111

LAUREN NICOLE DETWEILER (NPI# 1588209985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588209985
Entity Type Individual
Full Name LAUREN NICOLE DETWEILER
Credential FNP-C
Practice Address 1011 Rock Quarry Rd
Raleigh
NC 27610-3825
Mailing Address 500 Carraway Xing Ste 5117
Chapel Hill
NC 27516-7108
Practice Telephone 9198333111
Mailing Telephone 3072473732
Enumeration Date 2019-11-10
Last Update Date 2019-12-17
NPI Deactivation Date 12/09/2019
NPI Reactivation Date 2019-12-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F09191710 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2076 Nc Highway 42 W Ste 230, Clayton, NC 275205303 9195535711

Other Providers LAUREN DETWEILER

NPI Name Taxonomy Address Enumeration
1558879551 Lauren Detweiler Case Manager/Care Coordinator 807 Lawn Ave, Sellersville, PA 18960-1549 2018-01-12

Office Location

Street Address 1011 ROCK QUARRY RD
City RALEIGH
State NC
Zip Code 27610-3825

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326011396 Leroy S. Darkes Internal Medicine 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2006-02-09
1104455757 Janki Thakorbhai Patel Pharmacist 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2020-04-06
1083250500 Meriah Paige Ward Nurse Practitioner 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2019-11-19
1194277509 Sandra Entry Dental Hygienist 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2016-11-02
1861942831 Maribel Medina De La Barrera Dietitian, Registered 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2016-10-13
1235585662 Advance Community Health, Inc Pharmacy 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2016-05-04
1235598475 Teri Brown Nurse Practitioner 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2016-02-16
1215323365 Billie Lauren Karel Dietitian, Registered 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2015-04-15
1396031605 Elizabeth Tampe Social Worker 1011 Rock Quarry Rd, Advance Community Health, Raleigh, NC 27610 2011-06-24
1992930804 Faraz Akhtar Family Medicine 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2009-05-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417558990 Munira Amirali Ward Nurse Practitioner 2617 Valley Haven Dr, Raleigh, NC 27603-3197 2020-11-03
1710598644 Nicole Dora Licato Nurse Practitioner 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 2020-08-13
1316561178 Mintoria Lynette Stockton Nurse Practitioner 8332 Mcguire Dr, Raleigh, NC 27616-5682 2020-06-07
1700407103 Sadonna Marlene Sawyer Nurse Practitioner 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 2020-04-27
1447879903 Christapher Frank Nurse Practitioner 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 2020-04-14
1265065015 Shubham Tyagi Nurse Practitioner Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 2020-02-20
1073163812 Taylor Brooke Lawrence Nurse Practitioner 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 2019-09-13
1811456320 Elizabeth Campbell Mcgrath Nurse Practitioner 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 2019-03-14
1922578541 Dorothy Nwizu Nurse Practitioner 608 Kavkaz St, Raleigh, NC 27610-3176 2018-11-26
1265900013 Patricia-marie Edge Odom Nurse Practitioner 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 2018-11-09
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Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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