Organization
SUCASA HEALTH LLC
Active
Other names
SUCASA HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MICHAEL ANSELL MBA (MANAGING MEMBER)
(877) 655-8500
Entity
Organization
Contact information
Practice address
8208 KIMBERSHELL PL, HENRICO, VA 23229-8436
(877) 655-8500
(888) 966-3819
Mailing address
8208 KIMBERSHELL PL, HENRICO, VA 23229-8436
(877) 655-8500
(888) 966-3819
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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