Individual
AMANDA LYNN CARMOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4360 SHORE DR STE 101, VIRGINIA BEACH, VA 23455-2994
(866) 933-8387
Mailing address
4360 SHORE DR STE 101, VIRGINIA BEACH, VA 23455-2994
(866) 933-8387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024179921
VA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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