IndividualActive
Johanna Detwiler, PA-C
NPI 1578072021 · Physician Assistant · Wilmington, DE
Provider details
- NPI number
- 1578072021
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C5-0001175 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2722 Concord Pike
Wilmington, DE 19803-5007
Phone: (302) 477-1406
Street-level locationGet directions
Mailing address
150 E Wynnewood Rd Apt 10a
Wynnewood, PA 19096-1526
Additional practice locations (1)
- 200 Hygeia DrNewark, DE 19713-2049Phone: (302) 273-1701Fax: (302) 273-4497
Registry dates
- Enumerated
- 2017-09-28
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.