Individual
MR. ALEXANDRIA W. MWANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
2321 E GALA ST STE 3, MERIDIAN, ID 83642-7692
(208) 888-5848
(208) 888-0884
Mailing address
1965 S EAGLE RD STE 180, MERIDIAN, ID 83642-9246
(986) 666-3866
(986) 666-3038
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
69372
ID
Other
Enumeration date
08/18/2021
Last updated
05/27/2025
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