Individual
ANTHONY VINCENT SANTALUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2004 BREMO RD STE 201, RICHMOND, VA 23226-2442
(804) 272-2000
(804) 272-2030
Mailing address
2004 BREMO RD STE 201, RICHMOND, VA 23226-2442
(804) 272-2000
(804) 272-2030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001265510
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024176566
VA
Other
Enumeration date
08/02/2018
Last updated
07/26/2019
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