Provider Demographics
NPI:1679375679
Name:UNTERWAGNER, SUNSHINE ALINA (RN)
Entity type:Individual
Prefix:MRS
First Name:SUNSHINE
Middle Name:ALINA
Last Name:UNTERWAGNER
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SALT MARSH CT
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31523-7173
Mailing Address - Country:US
Mailing Address - Phone:540-871-6234
Mailing Address - Fax:
Practice Address - Street 1:249 CENTRAL PARK AVE STE 300-55
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3099
Practice Address - Country:US
Practice Address - Phone:877-267-4253
Practice Address - Fax:877-395-9003
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN244909163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse