Provider Demographics
NPI:1801363767
Name:ALLEN, MORGAN STUART (PNP)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:STUART
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
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Mailing Address - Street 1:5855 BREMO RD STE 210
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1922
Mailing Address - Country:US
Mailing Address - Phone:804-287-7066
Mailing Address - Fax:804-673-9531
Practice Address - Street 1:5855 BREMO RD STE 210
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1922
Practice Address - Country:US
Practice Address - Phone:804-287-7066
Practice Address - Fax:804-673-9531
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024176601207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine