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CONNIE RUSSELL
NPI 1649630856
Public Health or Welfare in Wapanucka, OK

Active since March 01, 2016
502 S CHOCTAW AVE, WAPANUCKA, OK 73461(580) 937-4288(580) 937-4804 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connie Russell NPPES

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

CONNIE RUSSELL (NPI 1649630856) is an individual public health or welfare provider in Wapanucka, Oklahoma and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1649630856
Entity TypeIndividualFemale
Primary Taxonomy251K00000X
Provider Legal NameCONNIE RUSSELL
Location Address502 S CHOCTAW AVEWapanucka, OK 73461-9235
Mailing Address502 S Choctaw AveWapanucka, OK 73461-9235 · (580) 937-4288 · Fax (580) 937-4804
Phone(580) 937-4288
Fax(580) 937-4804
Sole ProprietorYes
Enumeration DateMarch 1, 2016
✔ NPI 1649630856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
502 S CHOCTAW AVE, Wapanucka, OK 73461
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Other Identifiers 1

Medicaid100687480AOK

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 Connie Russell's NPI number?

The NPI number for Connie Russell is 1649630856. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Where is Connie Russell located?

Connie Russell practices at 502 S Choctaw Ave, Wapanucka, OK 73461. The listed phone number is (580) 937-4288.

What is Connie Russell's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Connie Russell was last updated on March 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.