ANASTASIA DEROUSSEL NP NPI 1548793631

NPI Information

NPI: 1548793631
Provider Name: ANASTASIA DEROUSSEL, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1202 W CHEROKEE ST STE G
WAGONER, OK
ZIP 74467
Phone: (918) 914-5533
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Anastasia Deroussel, NP is a family nurse practitioner in Wagoner, OK with 8 years of experience. Anastasia Deroussel, NP NPI is 1548793631. 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:

1202 W CHEROKEE ST STE G
WAGONER, OK
ZIP 74467-629
Phone: (918) 914-5533
Fax: (918) 485-6020

The NPI 1548793631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2017 and was last updated on 3/10/2023.

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	163W00000X	Registered Nurse		727314-1	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	F341382-1	NEW YORK	No
3	363LG0600X	Nurse Practitioner	Gerontology	R0129494	OKLAHOMA	No
4	363LF0000X	Nurse Practitioner	Family	R0129494	OKLAHOMA	Yes

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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