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AGE ERASE MEDICAL AESTHETICS
NPI 1386505709
Nurse Practitioner in Tulsa, OK

Active since November 24, 2025
7010 S UTICA AVE, TULSA, OK 74136(940) 704-1700 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Dec 24, 2025, Nov 24, 2025 (3 updates tracked since 2025).

About Age Erase Medical Aesthetics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGE ERASE MEDICAL AESTHETICS (NPI 1386505709) is a healthcare organization registered as a nurse practitioner in Tulsa, Oklahoma and active in the NPI registry since November 2025. The organization lists Reesey Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1386505709
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameAGE ERASE MEDICAL AESTHETICS
Location Address7010 S UTICA AVETulsa, OK 74136-3907
Mailing Address7010 S Utica AveTulsa, OK 74136-3907 · Fax (918) 890-4133
Phone(940) 704-1700
Organization SubpartNo
Authorized OfficialReesey RussellOwner · (940) 704-1700
Enumeration DateNovember 24, 2025
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1386505709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
7010 S UTICA AVE, Tulsa, OK 74136
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REESEY RUSSELL FNP-C
Nurse Practitioner (Family)
7010 S UTICA AVE
TULSA, OK 74136
Tulsa County (940) 704-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Age Erase Medical Aesthetics's NPI number?

The NPI number for Age Erase Medical Aesthetics is 1386505709. It was assigned to this organization in the NPPES registry on November 24, 2025.

Where is Age Erase Medical Aesthetics located?

Age Erase Medical Aesthetics is located at 7010 S Utica Ave, Tulsa, OK 74136. The listed phone number is (940) 704-1700.

What is Age Erase Medical Aesthetics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Age Erase Medical Aesthetics was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.