Healthcare Provider Details

I. General information

NPI: 1992092175
Provider Name (Legal Business Name): DARLA LEIGH MARRIOTT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLA LEGIH TERRY

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5830 NW BARRY RD
KANSAS CITY MO
64154-2778
US

IV. Provider business mailing address

5830 NW BARRY RD
KANSAS CITY MO
64154-2778
US

V. Phone/Fax

Practice location:
  • Phone: 816-880-6280
  • Fax: 816-880-6206
Mailing address:
  • Phone: 816-880-6280
  • Fax: 816-880-6206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2011017388
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: