Individual
MORGAN STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 RESERVOIR RD NW, WASHINGTON, DC 20007-2111
(202) 687-3118
Mailing address
1024 SAINT GEORGES LN, LANDENBERG, PA 19350-1320
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R249268
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
0024193766
VA
Other
Enumeration date
06/15/2022
Last updated
07/15/2025
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