IndividualActive
Annette Russell, PA-C
NPI 1861439838 · Medical Physician Assistant · Casper, WY
Provider details
- NPI number
- 1861439838
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- License
- 205 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1230 E 1st St
Casper, WY 82601-2704
Phone: (307) 266-3174
Fax: (307) 261-6713
Approximate (ZIP-level) locationGet directions
Mailing address
1230 E 1st St
Casper, WY 82601-2704
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.