Provider Demographics
NPI:1518218999
Name:MORGAN, LESLIE LOUISE (CRNP)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:LOUISE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5051 GREENSPRING AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4358
Mailing Address - Country:US
Mailing Address - Phone:410-601-9515
Mailing Address - Fax:410-601-8905
Practice Address - Street 1:5051 GREENSPRING AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-4354
Practice Address - Country:US
Practice Address - Phone:401-601-9515
Practice Address - Fax:410-601-8905
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR179071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily