Provider Demographics
NPI:1962643908
Name:NHAWAY, TYWANYA
Entity Type:Individual
Prefix:
First Name:TYWANYA
Middle Name:
Last Name:NHAWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3414 W WESTMORELAND ST
Mailing Address - Street 2:3RD FLR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1223
Mailing Address - Country:US
Mailing Address - Phone:267-407-6467
Mailing Address - Fax:
Practice Address - Street 1:3414 W WESTMORELAND ST
Practice Address - Street 2:3RD FLR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1223
Practice Address - Country:US
Practice Address - Phone:267-407-6467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-22
Last Update Date:2009-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor