Provider Demographics
NPI:1932553930
Name:MORRIS-DARBY, MALEGRA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:MALEGRA
Middle Name:
Last Name:MORRIS-DARBY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:MALEGRA
Other - Middle Name:LEQUITA
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:11216 STONERIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-1018
Mailing Address - Country:US
Mailing Address - Phone:405-812-6861
Mailing Address - Fax:
Practice Address - Street 1:11216 STONERIDGE LN
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-1018
Practice Address - Country:US
Practice Address - Phone:405-812-6861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-16
Last Update Date:2016-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0112446163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse