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NPI Code Detail

MEDICARE: CRYSTAL SINONG NP

MEDICARE:   CRYSTAL  SINONG  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024187055VA

General Provider Information

NPI Number : 1881464915
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL SINONG NP
Provider Business Mailing Address
First Line : 5024 RUGBY RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-7927
Country : US
Telephone Number : 757-779-0672
Fax Number :
Provider Business Practice Location Address
First Line : 5024 RUGBY RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-7927
Country : US
Telephone Number : 757-779-0672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2024
Last Update Date : 01/09/2024

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Directions to “ CRYSTAL SINONG NP” Practice Location

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