Individual provider · Type 1 NPI

Casey Detwiler, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1982304077 Active

Practice location

7979 N Shadeland Ave Ste 200
Indianapolis, IN 46250-2042

Fax (317) 621-6601

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

  • 3132 River Bay Dr N, Indianapolis, IN 46240-2982 · (317) 800-1483
  • 1629 Medical Arts Blvd Ste 120, Anderson, IN 46011-3454 · (765) 298-4220

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28232046A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71014059A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1982304077

Casey Detwiler, NP's National Provider Identifier is 1982304077, issued on Mar 7, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 10, 2026.