Provider Demographics
NPI:1992073076
Name:BARTLETT, CLAIRE DORAN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:DORAN
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:DORAN
Other - Last Name:JAKABEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3833 FAIRFAX DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1773
Mailing Address - Country:US
Mailing Address - Phone:703-525-8863
Mailing Address - Fax:703-525-2387
Practice Address - Street 1:3833 FAIRFAX DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1773
Practice Address - Country:US
Practice Address - Phone:703-525-8863
Practice Address - Fax:703-525-2387
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003674363AM0700X
MDC04647363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC04647OtherSTATE LICENSE