Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHONDA RUSSELL
Active Sole ProprietorMS. SHONDA RUSSELL is a Case Management Agency healthcare provider located in WAYNOKA, Oklahoma. NPI 1619470507 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · WAYNOKA, OK
Registration Details
- NPI Number
- 1619470507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2018 (8.4272957850253 yrs)
- Last Updated
- Mar 16, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1095 S. NICKERSON ST.WAYNOKA, OK, 73860Browse OK providers · Browse ZIP 73860
- Phone
- 5808240674
- Primary Specialty
-
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.