Healthcare Provider Details

I. General information

NPI: 1699465575
Provider Name (Legal Business Name): SANA CHUNARA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 ERIE ST SE
WASHINGTON DC
20020-3509
US

IV. Provider business mailing address

1507 ERIE ST SE
WASHINGTON DC
20020-3509
US

V. Phone/Fax

Practice location:
  • Phone: 678-670-6697
  • Fax:
Mailing address:
  • Phone: 678-670-6697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN10029585
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC007753
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP500019192
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: