Healthcare Provider Details

I. General information

NPI: 1730852005
Provider Name (Legal Business Name): MORGAN HEDDEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 GALLOWS RD
FALLS CHURCH VA
22042-3300
US

IV. Provider business mailing address

3930 WALNUT ST STE 101
FAIRFAX VA
22030-4750
US

V. Phone/Fax

Practice location:
  • Phone: 703-776-4001
  • Fax:
Mailing address:
  • Phone: 703-246-9246
  • Fax: 703-246-9257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0102210076
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: