Healthcare Provider Details

I. General information

NPI: 1972435519
Provider Name (Legal Business Name): LUVEN SARMIENTO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14330 GIDEON DR
WOODBRIDGE VA
22192-4640
US

IV. Provider business mailing address

14330 GIDEON DR
WOODBRIDGE VA
22192-4640
US

V. Phone/Fax

Practice location:
  • Phone: 571-283-9742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024197604
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: