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Albert Petrus Wirawan, RN,NP-C,MSN
Nurse Practitioner in Charlotte, North Carolina
NPI 1831461987

Albert Petrus Wirawan is a Nurse Practitioner based in Charlotte, NC. Albert Petrus Wirawan practices in Charlotte, NC and has the professional credentials of RN,NP-C,MSN. The NPI Number for Albert Petrus Wirawan is 1831461987 and holds a License No. 5005467 (North Carolina).

The current practice location address for Albert Petrus Wirawan is 200 Hawthorne Ln, Charlotte, NC and can be reached out via phone at 704-384-5416 and via fax at 704-384-5992.

Location: 200 Hawthorne Ln, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831461987
Provider Name
Albert Petrus Wirawan
Credential
RN,NP-C,MSN
Provider Entity Type
Individual
Gender
Male
Address
200 Hawthorne Ln, Charlotte, NC, 28260-0447
Phone Number
704-384-5416
Fax Number
704-384-5992
Provider Enumeration Date
02/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831461987 05 NC
institution
Provider Business Practice Location Address Details
Address
200 Hawthorne Ln
City
Charlotte
State
North Carolina
Zip
28204-2515
Phone Number
704-384-5416
Fax Number
704-384-5992
person
Provider Business Mailing Address Details
Address
200 Hawthorne Ln
City
Charlotte
State
North Carolina
Zip
28204-2515
Phone Number
704-384-5416
Fax Number
704-384-5992
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5005467 (North Carolina)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5005467 (North Carolina)
Definition
Definition to come...
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