Provider Demographics
NPI:1487297420
Name:RUBENSTEIN, MORGAN LEE (MSN, APRN, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LEE
Last Name:RUBENSTEIN
Suffix:
Gender:F
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:LEE
Other - Last Name:REISSENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 BOTANY BAY CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-3046
Mailing Address - Country:US
Mailing Address - Phone:843-509-2546
Mailing Address - Fax:
Practice Address - Street 1:9150 MEDCOM ST STE B
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9196
Practice Address - Country:US
Practice Address - Phone:843-572-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23308363LA2100X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology