Provider Demographics
NPI:1679129639
Name:MORGAN, DREW ANNE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DREW
Middle Name:ANNE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:MRS
Other - First Name:DREW
Other - Middle Name:MORGAN
Other - Last Name:BOLYARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:10009 PARK CEDAR DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8935
Mailing Address - Country:US
Mailing Address - Phone:704-412-7859
Mailing Address - Fax:980-422-0125
Practice Address - Street 1:10009 PARK CEDAR DR STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8935
Practice Address - Country:US
Practice Address - Phone:704-412-7859
Practice Address - Fax:980-422-0125
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011988363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty