Individual provider · Type 1 NPI

Albert Petrus Wirawan, RN, NP-C, MSN

Nurse Practitioner · Charlotte, NC

NPI number 1831461987 Active

Practice location

200 Hawthorne Ln
Charlotte, NC 28204-2515

Call (704) 384-5416 Map

Fax (704) 384-5992

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5005467 (NC)
Nurse Practitioner Primary 363L00000X5005467 (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 1831461987

Albert Petrus Wirawan, RN, NP-C, MSN's National Provider Identifier is 1831461987, issued on Feb 6, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 29, 2020.