Anastasia Deroussel, NP
Anastasia Deroussel, NP is a Nurse Practitioner in Wagoner, Oklahoma. Qualified in 2016, 10 years ago. Practices with Ies Hsp Missouri LLC, a 23-clinician group and accepts Medicare assignment. Licensed in New York and Oklahoma.
- Years since qualifying
- 10
- Licensed in
- NY, OK
- In the registry since
- 2017
- Specialties on file
- 4
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
1202 W Cherokee St Ste GWagoner, OK 74467-4629
Phone: (918) 914-5533
Fax: (918) 485-6020
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R0129494 (OK) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 727314-1 (NY) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence F341382-1 (NY) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence R0129494 (OK) |
Record details
| NPI number | 1548793631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | April 6, 2017 |
| Last updated in NPPES | March 10, 2023 |
| Certification date | March 10, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Ies Hsp Missouri Llc — 23 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Wagoner
-
Elizabeth Farar
109 S Harrill Ave, Wagoner, OK 74467-5317 · (918) 485-0242
-
Vicki S. Harris, RN
8291 N 40th St E, Wagoner, OK 74467-8132 · (918) 441-8311
-
Roger Kirk
109 S Harrill Ave, Wagoner, OK 74467-5317 · (918) 485-0242