IndividualActive
Albert Wirawan, RN, NP-C, MSN
NPI 1831461987 · Nurse Practitioner · Charlotte, NC
Provider details
- NPI number
- 1831461987
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, NP-C, MSN
- Sex
- Male
- Sole proprietor
- No
- License
- 5005467 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-5416
Fax: (704) 384-5992
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Registry dates
- Enumerated
- 2012-02-06
- Last updated
- 2020-10-29
- Certified
- 2020-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.