Healthcare Provider Details

I. General information

NPI: 1083911325
Provider Name (Legal Business Name): MEGHAN MORRIS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN HARRINGTON HAMILTON

II. Dates (important events)

Enumeration Date: 02/23/2011
Last Update Date: 07/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 WADSWORTH DR
NORTH CHESTERFIELD VA
23236-4510
US

IV. Provider business mailing address

107 WADSWORTH DR.
N. CHESTERFIELD VA
23236
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-4021
  • Fax: 804-272-6895
Mailing address:
  • Phone: 804-330-4901
  • Fax: 804-330-9145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN204505
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024170315
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: