Provider Demographics
NPI:1275205056
Name:SUN, HYO SIN (RN)
Entity Type:Individual
Prefix:MRS
First Name:HYO SIN
Middle Name:
Last Name:SUN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14728 40TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-7733
Mailing Address - Country:US
Mailing Address - Phone:206-280-6640
Mailing Address - Fax:
Practice Address - Street 1:3018 NE 125TH ST # 4413
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4413
Practice Address - Country:US
Practice Address - Phone:206-280-6640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60021440163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse