Amna Abugusseisa
Individual provider Active NPI Driver · Lorton, VA
NPI 1821597576 · NPPES record last updated Feb 8, 2018
Key facts
- NPI
- 1821597576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 8159 Gilroy Dr
Lorton, VA 22079-2939 - Phone
- (202) 437-3331
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | Yes |
Addresses
Primary practice location
8159 Gilroy Dr
Lorton, VA 22079-2939
Mailing address
8159 Gilroy Dr
Lorton, VA 22079-2939
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 697 | Other | CERTIFICATE OF AUTHORITY |
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.