Provider Demographics
NPI:1992202485
Name:NDHLOVU GWATURE, LINDA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:NDHLOVU GWATURE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-1808
Mailing Address - Country:US
Mailing Address - Phone:214-632-8863
Mailing Address - Fax:
Practice Address - Street 1:3105 LAFAYETTE DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-1808
Practice Address - Country:US
Practice Address - Phone:214-632-8863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX802098163WG0000X
TXAP137734363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice