Healthcare Provider Details

I. General information

NPI: 1225855703
Provider Name (Legal Business Name): ALLISON CHEUNG RN, BSN, WHNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4208 EVERGREEN LN STE 213
ANNANDALE VA
22003-3254
US

IV. Provider business mailing address

818 N QUINCY ST APT 711
ARLINGTON VA
22203-2082
US

V. Phone/Fax

Practice location:
  • Phone: 703-642-7522
  • Fax:
Mailing address:
  • Phone: 813-451-6970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0036000007
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: