Provider Demographics
NPI:1356756068
Name:LAMOUSNERY, OLGUERLINE (MSN,FNP-BC)
Entity type:Individual
Prefix:
First Name:OLGUERLINE
Middle Name:
Last Name:LAMOUSNERY
Suffix:
Gender:F
Credentials:MSN,FNP-BC
Other - Prefix:
Other - First Name:SAME
Other - Middle Name:
Other - Last Name:AS ABOVE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:14087 RICHMOND HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-2171
Mailing Address - Country:US
Mailing Address - Phone:571-300-8000
Mailing Address - Fax:
Practice Address - Street 1:14087 RICHMOND HWY STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2171
Practice Address - Country:US
Practice Address - Phone:571-300-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001214562251E00000X
VA0024177654363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No251E00000XAgenciesHome Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine