NPI

Meagan A Russell

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2022-06-08
Last updated
2025-03-10

Specialties

Licenses

License NM
CTB-2025-0116

Location

Practice location
321 Commerce Way
City
Clovis NM
Postal code
88101-4750
Phone
(575) 935-6262

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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