American Sunrise Care-Asc-Llc

NPI #1508603937 in Burke, Virginia

Provider Information

NPI Number: 1508603937
Entity Type: Organization
Organization Name: American Sunrise Care-Asc-Llc
Subpart: Yes (part of a larger organization)
Parent Organization: AMERICAN SUNRISE CARE-ASC-LLC
Primary Specialty: Pediatrics
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 9276 OLD KEENE MILL ROAD
City: Burke
State: Virginia
ZIP Code: 22015
Phone: (571) 516-3116

Authorized Official

Name: JESSICA KENNENY
Title: PRACTICE MANAGER
Phone: (540) 312-3230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Pediatrics	208000000X	Primary

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