Deroussel, Anastasia

Deroussel, Anastasia is an individual health care provider with primary practice located at 1202 W Cherokee St Ste G , Wagoner OK 74467-4629. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Deroussel, Anastasia can be contacted via phone (918) 914-5533.

Contact Information

Primary practice address
1202 W Cherokee St Ste G Wagoner OK 74467-4629
Phone: (918) 914-5533
Fax: (918) 485-6020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 727314-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F341382-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R0129494 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0129494 Oklahoma

Profile Details

NPI number 1548793631
LBN Legal business name Deroussel, Anastasia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Mar 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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