Individual provider · Type 1 NPI

Maegan Renee' Russell, APRN-CNP

Family Nurse Practitioner · Ada, OK

NPI number 1376217257 Active

Practice location

1921 Stonecipher Dr
Ada, OK 74820-3439

Mailing address

300 Ray Stout Blvd
Ada, OK 74820-1908

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000XR0122451 (OK)
Family Nurse Practitioner Primary 363LF0000X204854 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1376217257

Maegan Renee' Russell, APRN-CNP's National Provider Identifier is 1376217257, issued on Aug 4, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ada, OK. The record was last updated on Aug 4, 2021.