Individual provider · Type 1 NPI
Olivia Wulf Detweiler, A-GNP-C
Nurse Practitioner · Durham, NC
Practice location
2301 Erwin Rd
Durham, NC 27705-4699
Mailing address
8604 Royton Cir
Raleigh, NC 27613-8593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG05220050 (NC) |
| Nurse Practitioner Primary | 363L00000X | 0010-02061 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1063151371
Olivia Wulf Detweiler, A-GNP-C's National Provider Identifier is 1063151371, issued on Jun 3, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Durham, NC. The record was last updated on Oct 3, 2025.