Healthcare Provider Details

I. General information

NPI: 1215194055
Provider Name (Legal Business Name): DARIN PAUL MORGAN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 AUTUMN RD STE 3
LITTLE ROCK AR
72211-3768
US

IV. Provider business mailing address

1014 AUTUMN RD STE 3
LITTLE ROCK AR
72211-3768
US

V. Phone/Fax

Practice location:
  • Phone: 501-221-1941
  • Fax: 501-221-1553
Mailing address:
  • Phone: 501-221-1941
  • Fax: 501-221-1553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR66828
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: