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Individual
KANSAS MARIE ST CLAIR
Active
Individual
KANSAS MARIE ST CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP123878
TX
364SF0001X
Family Health Clinical Nurse Specialist
702520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457791824
BCBS
NM
01
—
1T9764
MEDICARE
TX
05
—
331227403
—
TX
05
—
66058546
—
NM
01
—
8QC171
BCBS
TX
Enumeration date
07/01/2013
Last updated
10/16/2024
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