MEDICARE: CHRISTIE LYNN RATLIFF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	L0062227	OK

General Provider Information

NPI Number	:	1558296392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIE LYNN RATLIFF

Provider Business Mailing Address
First Line	:	4922 E 73RD ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-7007
Country	:	US
Telephone Number	:	918-340-6460
Fax Number	:	918-926-3376

Provider Business Practice Location Address
First Line	:	4922 E 73RD ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-7007
Country	:	US
Telephone Number	:	918-340-6460
Fax Number	:	918-926-3376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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