| Tamera Russell, | |
|
304 S 29th St, Chickasha, OK 73018-2501 | |
| (405) 896-8058 | |
| Not Available |
| Full Name | Tamera Russell |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 304 S 29th St, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972978567 | NPI | - | NPPES |
| 55586 | Other | OK | OK 55586 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 55586 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tamera Russell, 304 S 29th St, Chickasha, OK 73018-2501 Ph: () - | Tamera Russell, 304 S 29th St, Chickasha, OK 73018-2501 Ph: (405) 896-8058 |
Kimberly Anne Smith, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-756-1414 Fax: 405-293-8690 | |
Corinna Taylor, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-896-8058 | |
Tandye Ryans, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-896-8058 |