Healthcare Provider Details

I. General information

NPI: 1679097133
Provider Name (Legal Business Name): KAREN CONROY OAKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 S MAIN ST
DANVILLE VA
24541-2922
US

IV. Provider business mailing address

181 ROBINWOOD PL
DANVILLE VA
24540-1283
US

V. Phone/Fax

Practice location:
  • Phone: 434-799-2100
  • Fax:
Mailing address:
  • Phone: 434-203-1623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5016253
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024174064
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: