Thal-Larsen, Catherine Anne

Thal-Larsen, Catherine Anne is an individual health care provider with primary practice located at 14535 John Marshall Hwy, Suite 212, , Gainesville VA 20155-4025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thal-Larsen, Catherine Anne can be contacted via phone (571) 248-0245.

Contact Information

Primary practice address
14535 John Marshall Hwy, Suite 212, Gainesville VA 20155-4025
Phone: (571) 248-0245
Fax: (571) 248-0241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0017000751 Virginia

Profile Details

NPI number 1174774871
LBN Legal business name Thal-Larsen, Catherine Anne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Mar 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174774871 NPPES
Virginia MEDICAID 1174774871
Virginia MEDICAID 30017620550001

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