Provider Demographics
NPI:1679316111
Name:SIGLOWIDE, BWIZA
Entity type:Individual
Prefix:
First Name:BWIZA
Middle Name:
Last Name:SIGLOWIDE
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 1:6445 AMERICA BLVD APT 1014
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2441
Mailing Address - Country:US
Mailing Address - Phone:202-681-8151
Mailing Address - Fax:
Practice Address - Street 1:6445 AMERICA BLVD APT 1014
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2441
Practice Address - Country:US
Practice Address - Phone:202-681-8151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula