Individual
DANIELLE LUISE LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3213 CORPORATE CT, ELLICOTT CITY, MD 21042-2247
(410) 870-8225
(870) 408-4869
Mailing address
3213 CORPORATE CT, ELLICOTT CITY, MD 21042-2247
(617) 256-5546
(870) 408-4869
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R173012
MD
Other
Enumeration date
10/02/2006
Last updated
10/28/2024
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