Marvel A Darrough, APRN

Individual provider Active NPI Family Nurse Practitioner · Wichita, KS

NPI 1710061346 · NPPES record last updated Jun 27, 2012

Key facts

NPI
1710061346
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
74008 (KS)
Practice address
1431 S Bluffview Dr
Suite 111
Wichita, KS 67218-3010
Phone
(316) 689-6005
Fax
(316) 691-6785
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine South Past
since Jan 1, 2005
Accepting new patients
Tatpati Medical Group, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEADDD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 74008 KS Yes

Addresses

Primary practice location

1431 S Bluffview Dr
Suite 111
Wichita, KS 67218-3010

Mailing address

1431 S Bluffview Dr
Suite 111
Wichita, KS 67218-3010
Phone (316) 689-6005

Other providers in Wichita, KS

All providers in Wichita, KS · Family Nurse Practitioner in Kansas

Sources for this page

Verify at the official NPI Registry.