Provider Demographics
NPI:1841200730
Name:TWESIGYE, BEATRICE TIBAYUNGWA (CNP)
Entity Type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:TIBAYUNGWA
Last Name:TWESIGYE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 GOVERNORS ST
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1107
Mailing Address - Country:US
Mailing Address - Phone:614-257-5212
Mailing Address - Fax:614-257-5205
Practice Address - Street 1:543 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1278
Practice Address - Country:US
Practice Address - Phone:614-257-5212
Practice Address - Fax:614-257-5205
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-04699363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health