Provider Demographics
NPI:1801596986
Name:LOHMAN, MORGAN RAE (FNP-BC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:RAE
Last Name:LOHMAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:RAE
Other - Last Name:BREIDINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 WELLS ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2934
Mailing Address - Country:US
Mailing Address - Phone:860-608-8402
Mailing Address - Fax:
Practice Address - Street 1:25 WELLS ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2934
Practice Address - Country:US
Practice Address - Phone:860-608-8402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2022151306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily