Healthcare Provider Details

I. General information

NPI: 1396656567
Provider Name (Legal Business Name): CLARISSE SAARLAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 CAMPUS BLVD STE 300
WINCHESTER VA
22601-2872
US

IV. Provider business mailing address

190 CAMPUS BLVD STE 300
WINCHESTER VA
22601-2872
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-1244
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024198832
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: