IndividualActive
Connie Russell
NPI 1649630856 · Public Health or Welfare Agency · Wapanucka, OK
Provider details
- NPI number
- 1649630856
- Entity type
- Individual
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
502 S Choctaw Ave
Wapanucka, OK 73461-9235
Phone: (580) 937-4288
Fax: (580) 937-4804
Approximate (ZIP-level) locationGet directions
Mailing address
502 S Choctaw Ave
Wapanucka, OK 73461-9235
Registry dates
- Enumerated
- 2016-03-01
- Last updated
- 2016-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.