Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNIE RUSSELL
Active Sole ProprietorCONNIE RUSSELL is a Public Health / General Public Health healthcare provider located in WAPANUCKA, Oklahoma. NPI 1649630856 is currently active in the NPPES registry. Verify at CMS.
Public Health / General Public Health · WAPANUCKA, OK
Registration Details
- NPI Number
- 1649630856
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2016 (10.469496444177 yrs)
- Last Updated
- Mar 1, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
502 S CHOCTAW AVEWAPANUCKA, OK, 734619235Browse OK providers · Browse ZIP 73461
- Phone
- 5809374288
- Fax
- 5809374804
- Primary Specialty
-
Public Health / General Public Health
251K00000X
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.