Individual
SUNNY KIM STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 E MARSHALL ST STE 11-209, RICHMOND, VA 23298-5026
(804) 898-2978
Mailing address
7229 FOREST AVE STE 112, RICHMOND, VA 23226-3765
(804) 281-0275
(804) 521-9344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024175317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G495
MEDICARE PTAN
VA
Enumeration date
10/20/2017
Last updated
11/01/2022
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