Individual
CHRISTIAN LARSON STCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4954 N PALMER RD, 4TH FLOOR, ROOM 4515, BETHESDA, MD 20889-5600
(301) 319-7035
Mailing address
4954 N PALMER RD, 4TH FLOOR, ROOM 4515, BETHESDA, MD 20889-5600
(301) 319-7035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345237
NY
363LF0000X
Family Nurse Practitioner
R192531
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F345237
NEW YORK NP LICENSE
NY
01
—
R192531
MARYLAND NP LICENSE
MD
Enumeration date
08/02/2014
Last updated
10/16/2020
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