Healthcare Provider Details

I. General information

NPI: 1356756068
Provider Name (Legal Business Name): OLGUERLINE LAMOUSNERY MSN,FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAME AS ABOVE NP

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5246 CHAMBERLAYNE RD
RICHMOND VA
23227-2950
US

IV. Provider business mailing address

PO BOX 746722
ATLANTA GA
30374-6722
US

V. Phone/Fax

Practice location:
  • Phone: 804-913-7029
  • Fax:
Mailing address:
  • Phone: 469-727-6675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0024177654
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0001214562
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024177654
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: