Russell, Maegan Renee'

Russell, Maegan Renee' is an individual health care provider with primary practice located at 1921 Stonecipher Dr , Ada OK 74820-3439. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Russell, Maegan Renee' can be contacted via phone (580) 436-3980.

Contact Information

Primary practice address
1921 Stonecipher Dr Ada OK 74820-3439
Phone: (580) 436-3980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R0122451 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 204854 Oklahoma

Profile Details

NPI number 1376217257
LBN Legal business name Russell, Maegan Renee'
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Aug 4th, 2021 - about 3 years ago

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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