Individual
MR. BRYAN OLIVER CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, RN
Contact information
Practice address
13175 MARINA WAY APT 128, WOODBRIDGE, VA 22191-1250
(240) 715-7485
Mailing address
13175 MARINA WAY APT 128, WOODBRIDGE, VA 22191-1250
(240) 715-7485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024194312
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2025
Last updated
08/16/2025
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