Provider Demographics
NPI:1528752649
Name:MWESIGWA, LYDIA (DNP-FNP)
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:MWESIGWA
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 STAIN GLASS CT
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5052
Mailing Address - Country:US
Mailing Address - Phone:214-240-6146
Mailing Address - Fax:
Practice Address - Street 1:2720 STAIN GLASS CT
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5052
Practice Address - Country:US
Practice Address - Phone:214-240-6146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily