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ANASTASIA DEROUSSEL, NP
NP
Family Nurse Practitioner
NPI: 1548793631IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
727314-1(NY)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
F341382-1(NY)R0129494(OK)
Gerontology Nurse Practitioner
Nurse Practitioner — Gerontology
Code: 363LG0600X
R0129494(OK)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 1202 W CHEROKEE ST STE G
WAGONER, OK 74467 - Phone
- (918) 914-5533
Quick Facts
- NPI
- 1548793631
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 10
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