Individual
CLARISE MBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4432 MARRIOTTSVILLE RD, OWINGS MILLS, MD 21117-6127
(240) 855-3422
Mailing address
4432 MARRIOTTSVILLE RD, OWINGS MILLS, MD 21117-6127
(240) 855-3422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R215393
MD
Other
Enumeration date
01/23/2024
Last updated
01/29/2024
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