Individual
MR. NICHOLAS DANIEL SANTALUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LNP
Contact information
Practice address
1640 E PARHAM RD, RICHMOND, VA 23228-2368
(855) 444-9838
Mailing address
3811 E WEYBURN RD, RICHMOND, VA 23235-2037
(804) 519-9483
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PENDING
VA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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