Provider Demographics
NPI:1831660471
Name:SUN, TERRI (MD)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:
Last Name:SUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202-668 CITADEL PARADE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V6B1W6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1202-668 CITADEL PARADE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V6B1W6
Practice Address - Country:CA
Practice Address - Phone:604-779-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-07
Last Update Date:2019-08-16
Deactivation Date:2019-07-19
Deactivation Code:
Reactivation Date:2019-08-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program