Provider Demographics
NPI:1023305448
Name:ONA, ANNA LIZA (APN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LIZA
Last Name:ONA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10715 DOUBLE R BLVD
Mailing Address - Street 2:#101
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8975
Mailing Address - Country:US
Mailing Address - Phone:775-284-8650
Mailing Address - Fax:775-284-8654
Practice Address - Street 1:10715 DOUBLE R BLVD
Practice Address - Street 2:#101
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8975
Practice Address - Country:US
Practice Address - Phone:775-284-8650
Practice Address - Fax:775-284-8654
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN0001286363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner