Russell Peters, APRN

NPI 1093252439 · on the registry since 2017

Practice

Address: 138 S. Main St
Afton, OK 74331
Phone: (918) 257-8029
Fax: (918) 257-8042
Organisation at this address: Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center, Inc.
Community Health Center Of Northeast Oklahoma, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 363LF0000X
Licence states on file: TN, OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma