Provider Demographics
NPI:1093698276
Name:MARRS, DESTINY ANN (RN)
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:ANN
Last Name:MARRS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2546
Mailing Address - Country:US
Mailing Address - Phone:918-231-6428
Mailing Address - Fax:
Practice Address - Street 1:520 WOODS WAY
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2546
Practice Address - Country:US
Practice Address - Phone:918-231-6428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0095928163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health