Provider Demographics
NPI:1215411426
Name:NDUGWA, TADIA FRANSIS (RN)
Entity Type:Individual
Prefix:MRS
First Name:TADIA
Middle Name:FRANSIS
Last Name:NDUGWA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6206 E CEDAR HILLS PL
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-1696
Mailing Address - Country:US
Mailing Address - Phone:308-627-8305
Mailing Address - Fax:
Practice Address - Street 1:6206 E CEDAR HILLS PL
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-1696
Practice Address - Country:US
Practice Address - Phone:308-627-8305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE80139163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse