Healthcare Provider Details
I. General information
NPI: 1902763717
Provider Name (Legal Business Name): STERLING UROLOGY AND SEXUAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22611 MARKEY CT STE 114-G
STERLING VA
20166-6931
US
IV. Provider business mailing address
19375 CYPRESS RIDGE TER UNIT 822
LEESBURG VA
20176-5189
US
V. Phone/Fax
- Phone: 703-963-9037
- Fax:
- Phone: 703-963-9037
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARI
PARKER
Title or Position: NP
Credential: NP
Phone: 703-963-9037