Provider Demographics
NPI:1851067870
Name:LEWIS, MORGAN (FNP-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4731 24TH RD N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-3551
Mailing Address - Country:US
Mailing Address - Phone:540-405-9369
Mailing Address - Fax:
Practice Address - Street 1:2920 DISTRICT AVE STE 170
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4483
Practice Address - Country:US
Practice Address - Phone:571-517-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC003711363LF0000X
VA0024182523363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily