Provider Demographics
NPI:1902625015
Name:MORRIS, ADRIA KATHLEEN (APRN)
Entity type:Individual
Prefix:
First Name:ADRIA
Middle Name:KATHLEEN
Last Name:MORRIS
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:ADRIA
Other - Middle Name:
Other - Last Name:SLATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6140 S FORT APACHE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-6737
Mailing Address - Country:US
Mailing Address - Phone:702-933-6400
Mailing Address - Fax:
Practice Address - Street 1:6140 S FORT APACHE RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-6737
Practice Address - Country:US
Practice Address - Phone:702-933-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37315363LX0001X
NV886672363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology