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Individual
MARY CLAIRE THERESE LI
Active
Individual
MARY CLAIRE THERESE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A171278
IA
363L00000X
Nurse Practitioner
Primary
A171278
IA
363LF0000X
Family Nurse Practitioner
A171278
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A171278
ARNP LICENSE
IA
Enumeration date
10/03/2022
Last updated
08/01/2023
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