Provider Demographics
NPI:1891266847
Name:SUKHEE-HUNGERFORD, SARANTUYA (NP)
Entity Type:Individual
Prefix:MRS
First Name:SARANTUYA
Middle Name:
Last Name:SUKHEE-HUNGERFORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8644 SUDLEY RD STE 115
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4425
Mailing Address - Country:US
Mailing Address - Phone:703-396-5222
Mailing Address - Fax:703-396-5229
Practice Address - Street 1:8644 SUDLEY RD STE 115
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4425
Practice Address - Country:US
Practice Address - Phone:703-396-5222
Practice Address - Fax:703-396-5229
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176391363LG0600X, 363LA2200X, 363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology