Healthcare Provider Details

I. General information

NPI: 1366023426
Provider Name (Legal Business Name): ALEXANDRIA SUHR PNP-AC/PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2924 BROOK RD
RICHMOND VA
23220-1215
US

IV. Provider business mailing address

3319 SUMMERBROOKE DR
NORTH CHESTERFIELD VA
23235-5957
US

V. Phone/Fax

Practice location:
  • Phone: 804-228-7047
  • Fax: 804-228-5861
Mailing address:
  • Phone: 804-822-0420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number0001274705
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024191577
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: