Individual
MRS. CATHERINE ANNE THAL-LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
14535 JOHN MARSHALL HWY, SUITE 212,, GAINESVILLE, VA 20155-4025
(571) 248-0245
(571) 248-0241
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0017000751
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174774871
—
VA
05
—
30017620550001
—
VA
Enumeration date
10/01/2008
Last updated
03/19/2024
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