Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christina Licalzi, FNP

Individual provider Family Nurse Practitioner · NPI 1710451299

Christina Licalzi, FNP is a Nurse Practitioner in LA Plata, Maryland. Qualified in 2018, 8 years ago. Practices with University of Maryland Community Medical Group Inc, a 450-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

103 Centennial St Ste B
LA Plata, MD 20646-5985
Phone: (301) 934-9111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R165484 (MD)

Record details

NPI number1710451299
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 17, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Maryland Community Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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