IndividualActive
Amanda Russell, PA-C
NPI 1033703954 · Physician Assistant · Oklahoma City, OK
Provider details
- NPI number
- 1033703954
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
921 Ne 13th St
Oklahoma City, OK 73104-5007
Phone: (405) 456-1000
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Safari Dr
Guthrie, OK 73044-6774
Registry dates
- Enumerated
- 2021-02-22
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.