# MR. ALEXANDRIA W. MWANGA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336815562
- **Gender:** Man
- **Credential:** DNP, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | 69372 | ID | — |
| 207Q00000X | Family Medicine Physician | 69372 | ID | — |
| 208D00000X | General Practice Physician | 69372 | ID | — |
| 208M00000X | Hospitalist Physician | 69372 | ID | — |
| 363L00000X | Nurse Practitioner | 69372 | ID | Yes |

## Other

- **Enumeration date:** 08/18/2021
- **Last updated:** 05/27/2025