Provider Demographics
NPI:1104309186
Name:SAKWE, LOUIS (AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:
Last Name:SAKWE
Suffix:
Gender:M
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31494
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-1494
Mailing Address - Country:US
Mailing Address - Phone:804-282-9133
Mailing Address - Fax:804-282-9135
Practice Address - Street 1:MOB III 7702 E. PARHAM ROAD
Practice Address - Street 2:SUITE 318
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4374
Practice Address - Country:US
Practice Address - Phone:804-499-8811
Practice Address - Fax:804-496-2026
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176623363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology