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Age Erase Medical Aesthetics

Nurse Practitioner in Tulsa, OK · enumerated 2025 · authorized official Reesey Russell, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386505709

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Registry record

Entity type Organization (Type 2)
Legal business name Age Erase Medical Aesthetics
Practice address 7010 S Utica Ave, Tulsa, OK, 74136
Phone (940) 704-1700
Enumeration date Nov 24, 2025
Last updated in NPPES Mar 4, 2026

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Reesey Russell
Title Owner
Phone (940) 704-1700

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Age Erase Medical Aesthetics?
Age Erase Medical Aesthetics is registered in NPPES as a Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-04.