Provider Demographics
NPI:1215201652
Name:VOLL, SANDRA KUCHAR (MS, NP, CNM)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:KUCHAR
Last Name:VOLL
Suffix:
Gender:F
Credentials:MS, NP, CNM
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:LEE KUCHAR (MAIDEN)
Other - Last Name:VOLL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6353 CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4100
Mailing Address - Country:US
Mailing Address - Phone:561-486-8439
Mailing Address - Fax:561-486-8439
Practice Address - Street 1:500 SENTARA CIR STE 105
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-5754
Practice Address - Country:US
Practice Address - Phone:757-253-5653
Practice Address - Fax:757-378-2776
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024077685363LW0102X, 367A00000X, 363LF0000X
VA0001077685163W00000X
VA0017000730363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner