Healthcare Provider Details

I. General information

NPI: 1902431257
Provider Name (Legal Business Name): FRANCISCO MORIN DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7702 MARTIN ALLEN CT
ALEXANDRIA VA
22315-6056
US

IV. Provider business mailing address

7702 MARTIN ALLEN CT
ALEXANDRIA VA
22315-6056
US

V. Phone/Fax

Practice location:
  • Phone: 703-303-4924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number0001247473
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024179507
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: