MAEGAN RENEE' RUSSELL APRN-CNP NPI 1376217257

NPI Information

NPI: 1376217257
Provider Name: MAEGAN RENEE' RUSSELL, APRN-CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1921 STONECIPHER DR
ADA, OK
ZIP 74820
Phone: (580) 436-3980
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Maegan Renee' Russell, APRN-CNP is a family nurse practitioner in Ada, OK. Maegan Renee' Russell, APRN-CNP NPI is 1376217257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1921 STONECIPHER DR
ADA, OK
ZIP 74820-439
Phone: (580) 436-3980

The NPI 1376217257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	204854	OKLAHOMA	Yes
2	163WG0000X	Registered Nurse	General Practice	R0122451	OKLAHOMA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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