Samuel Lwanyaga, AGPCNP

NPI 1154181022 · on the registry since 2024 · sole proprietor

Practice

Address: 7501 Heritage Village Plz
Gainesville, VA 20155
Phone: (157) 150-5285
Fax: (571) 248-6455
Organisation at this address: Heritage Hunt Llc
Genesis Health And Rehab Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363L00000X
363L00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia