Provider Demographics
NPI:1457339558
Name:TUASON, AMENRA F (MD)
Entity Type:Individual
Prefix:DR
First Name:AMENRA
Middle Name:F
Last Name:TUASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 11768
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-0168
Mailing Address - Country:US
Mailing Address - Phone:804-281-3319
Mailing Address - Fax:804-213-9773
Practice Address - Street 1:CENTRAL STATE HOSPITAL
Practice Address - Street 2:WASHINGTON ST
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-0030
Practice Address - Country:US
Practice Address - Phone:804-524-4700
Practice Address - Fax:804-524-4717
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2021-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010417392084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry