=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164373429
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MORGAN BLEINBERGER CRNP
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 126 PHILOSOPHERS TER
-----------------------------------------------------
City | CHESTERTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21620-1715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-215-5353
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 126 PHILOSOPHERS TER
-----------------------------------------------------
City | CHESTERTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21620-1715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | R216758
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------