Provider Demographics
NPI:1245294024
Name:MOREWITZ, NANCY DORALIE (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:DORALIE
Last Name:MOREWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3640 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3213
Mailing Address - Country:US
Mailing Address - Phone:757-215-3565
Mailing Address - Fax:757-397-8026
Practice Address - Street 1:3640 HIGH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3213
Practice Address - Country:US
Practice Address - Phone:757-215-3565
Practice Address - Fax:757-397-8026
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012538212084S0012X
NC304232084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60639OtherBCBS
NC8960639Medicaid
NCC-82121Medicare UPIN
NC60639OtherBCBS