IndividualActive
Suman Sangroula, RN
NPI 1902761182 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Woodbridge, VA
Provider details
- NPI number
- 1902761182
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0001268412 (VA)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 0001268412 (VA)
Nursing Service Providers
Practice location
5893 Anthony Dr
Woodbridge, VA 22193-3619
Phone: (703) 730-0300
Approximate (ZIP-level) locationGet directions
Mailing address
5893 Anthony Dr
Woodbridge, VA 22193-3619
Registry dates
- Enumerated
- 2025-12-18
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.