Individual provider · Type 1 NPI
Ellen Detwiler, NP
Nurse Practitioner · Anaheim, CA
Practice location
2106 W Huntington Ave
Anaheim, CA 92801-1625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95032024 (CA) |
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 1568255396
Ellen Detwiler, NP's National Provider Identifier is 1568255396, issued on May 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Anaheim, CA. The record was last updated on May 24, 2025.