Healthcare Provider Details

I. General information

NPI: 1528384245
Provider Name (Legal Business Name): LISA L ONEGA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2010
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 PIEDMONT DR STE 2003
DANVILLE VA
24540-4028
US

IV. Provider business mailing address

1601 KENNEDY AVE
BLACKSBURG VA
24060-5731
US

V. Phone/Fax

Practice location:
  • Phone: 540-212-0279
  • Fax: 540-999-8888
Mailing address:
  • Phone: 540-212-0279
  • Fax: 540-322-1840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001090153
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024090153
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number0015000373
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024090153
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: