Provider Demographics
NPI:1225855703
Name:CHEUNG, ALLISON (RN, BSN, WHNP, CNM)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:RN, BSN, WHNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 N QUINCY ST APT 711
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-2082
Mailing Address - Country:US
Mailing Address - Phone:813-451-6970
Mailing Address - Fax:
Practice Address - Street 1:4208 EVERGREEN LN STE 213
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3254
Practice Address - Country:US
Practice Address - Phone:703-642-7522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0036000007367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife