Doctor Name: | SUNITA SHARMA |
NPI Number: | 1043659964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 0024134924 |
Business Practice Address: | 1850 Town Center Parkway Suite 412 Reston, VA - 20190 |
Business Phone Number: | 7036899379 |
Business Fax Number: | |
Mailing Address: | 1850 Town Center Parkway, Suite 412 RESTON |
State: | VA |
Postal Code: | 20190 |
Phone Number: | 7036899379 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2013 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 0024134924 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |