Provider Demographics
NPI:1841831765
Name:KAMWESA, DISHON M (APRN CNP)
Entity type:Individual
Prefix:
First Name:DISHON
Middle Name:M
Last Name:KAMWESA
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Gender:M
Credentials:APRN CNP
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Other - First Name:
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Mailing Address - Street 1:6724 WALES AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-9006
Mailing Address - Country:US
Mailing Address - Phone:330-837-4264
Mailing Address - Fax:330-837-9195
Practice Address - Street 1:6724 WALES AVE NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-9006
Practice Address - Country:US
Practice Address - Phone:330-837-4264
Practice Address - Fax:330-837-9195
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025704363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily