Provider Demographics
NPI:1437969573
Name:THANDIWE DHLIWAYO FNP LLC
Entity type:Organization
Organization Name:THANDIWE DHLIWAYO FNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THANDIWE
Authorized Official - Middle Name:
Authorized Official - Last Name:DHLIWAYO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN FNP
Authorized Official - Phone:603-703-6396
Mailing Address - Street 1:118 WALNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-2340
Mailing Address - Country:US
Mailing Address - Phone:603-703-6396
Mailing Address - Fax:
Practice Address - Street 1:118 WALNUT HILL RD
Practice Address - Street 2:
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-2340
Practice Address - Country:US
Practice Address - Phone:603-703-6396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty