Individual provider · Type 1 NPI
Nicholas Tyler Russenberger, MPAS
Physician Assistant · Buffalo, OK
Practice location
1003 US Highway 64
Buffalo, OK 73834-8912
Fax (580) 735-2574
Mailing address
PO Box 677
Buffalo, OK 73834-0677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 5175 (OK) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1487435053
Nicholas Tyler Russenberger, MPAS's National Provider Identifier is 1487435053, issued on Oct 10, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Buffalo, OK. The record was last updated on Oct 10, 2023.