Provider Demographics
NPI:1730732926
Name:MORRIS, NATORRIE D'ATRA (APRN)
Entity type:Individual
Prefix:MRS
First Name:NATORRIE
Middle Name:D'ATRA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 N US HIGHWAY 259
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:OK
Mailing Address - Zip Code:74728-7086
Mailing Address - Country:US
Mailing Address - Phone:580-494-6562
Mailing Address - Fax:580-494-6566
Practice Address - Street 1:403 S INDIAN RD
Practice Address - Street 2:
Practice Address - City:IDABEL
Practice Address - State:OK
Practice Address - Zip Code:74745-5458
Practice Address - Country:US
Practice Address - Phone:580-286-6688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK117228363LF0000X
TXAP145856363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty