Healthcare Provider Details

I. General information

NPI: 1093471336
Provider Name (Legal Business Name): MORGAN PATRICK ZIMMERLEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. MORGAN PATRICK

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 07/12/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9109 STONY POINT DR
RICHMOND VA
23235-1979
US

IV. Provider business mailing address

PO BOX 780125
PHILADELPHIA PA
19178-0125
US

V. Phone/Fax

Practice location:
  • Phone: 804-327-8001
  • Fax: 804-327-8002
Mailing address:
  • Phone: 804-922-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024183106
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: