Individual
MORGAN BESTENLEHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
131 BONNIE BLUE LN, WHITLEYVILLE, TN 38588-7126
(129) 408-6856
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
096003594
IL
171W00000X
Contractor
1445-39
WI
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
03/23/2020
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