Nurse Practitioner
AGE ERASE MEDICAL AESTHETICS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386505709 · enumerated 2025-11-24 · record updated 2026-03-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: REESEY RUSSELL APRN, OWNER · (940) 704-1700
Addresses and phones
- Mailing address 7010 S UTICA AVE, TULSA, OK, 74136-3907 Fax (918) 890-4133 Google Maps Apple Maps OpenStreetMap
- Practice location 7010 S UTICA AVE, TULSA, OK, 74136-3907 (940) 704-1700 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinic/Center, Primary Care 261QP2300X
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
TULSA, OK, 741363907
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.