Provider Demographics
NPI:1891393252
Name:MORGAN, VICTOR SEPHA (BSN, RN)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:SEPHA
Last Name:MORGAN
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5568 GENERAL WASHINGTON DR STE A201
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2465
Mailing Address - Country:US
Mailing Address - Phone:703-705-2112
Mailing Address - Fax:877-852-6352
Practice Address - Street 1:5568 GENERAL WASHINGTON DR STE A201
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2465
Practice Address - Country:US
Practice Address - Phone:703-705-2112
Practice Address - Fax:877-852-6352
Is Sole Proprietor?:No
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR240541163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health