Healthcare Provider Details

I. General information

NPI: 1821305079
Provider Name (Legal Business Name): MORGAN ELIZABETH KLEIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21495 RIDGETOP CIR STE 105
STERLING VA
20166-6512
US

IV. Provider business mailing address

21495 RIDGETOP CIR STE 105
STERLING VA
20166-6512
US

V. Phone/Fax

Practice location:
  • Phone: 703-782-9617
  • Fax: 703-450-4800
Mailing address:
  • Phone: 703-782-9617
  • Fax: 703-450-4800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110003401
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: