MEDICARE: ADRIA KATHLEEN MORRIS APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	37315	TN
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	886672	NV

General Provider Information

NPI Number	:	1902625015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIA KATHLEEN MORRIS APRN

Provider Business Mailing Address
First Line	:	6140 S FORT APACHE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6737
Country	:	US
Telephone Number	:	702-933-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6140 S FORT APACHE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6737
Country	:	US
Telephone Number	:	702-933-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	04/16/2025

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