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Organization
SANTOS PREMIER CARE LLC
Active
Organization
SANTOS PREMIER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CARMOUCHE FNP-C, PMHNP-BC (OWNER)
(757) 792-7740
Entity
Organization
Contact information
Practice address
1003 RAVEN HILL RD, SUFFOLK, VA 23434-3053
(757) 792-7740
Mailing address
8401 MAYLAND DR STE S, RICHMOND, VA 23294-4648
(757) 792-7740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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