IndividualActive
Angie Detwiler, CNM
NPI 1033654470 · Advanced Practice Midwife · Bloomington, IL
Provider details
- NPI number
- 1033654470
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 209.014746 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6 Westport Ct
Bloomington, IL 61704-8233
Phone: (309) 722-4020
Approximate (ZIP-level) locationGet directions
Mailing address
6 Westport Ct
Bloomington, IL 61704-8233
Registry dates
- Enumerated
- 2016-12-20
- Last updated
- 2016-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.