Casey Detwiler, NP
Nurse Practitioner, Gerontology in Indianapolis, IN. Individual provider (NPI-1).
NPI number1982304077
StatusActive
Last updated in NPPESJul 10, 2026
Details
- NPI
- 1982304077
- Entity type
- Individual (NPI-1)
- Name
- Casey Detwiler
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2023
- Certification date
- Jul 10, 2026
- Last updated
- Jul 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 71014059A | IN | Yes |
| 163W00000X | Registered Nurse | 28232046A | IN |
Practice location
7979 N Shadeland Ave Ste 200Indianapolis, IN 46250-2042
Phone 317-621-3300 · Fax 317-621-6601
Mailing address
6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Other practice locations
1629 Medical Arts Blvd Ste 120
Anderson, IN 46011-3454
Anderson, IN 46011-3454
Phone 765-298-4220
3132 River Bay Dr N
Indianapolis, IN 46240-2982
Indianapolis, IN 46240-2982
Phone 317-800-1483
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