MEDICARE: SCARLETT NICOLE VIRDEN APRN FNPC, AGACNP-BC

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	363LF0000X	Family Nurse Practitioner	93576	OK
2	363LA2100X	Acute Care Nurse Practitioner	93576	OK
3	363LA2200X	Adult Health Nurse Practitioner	93576	OK
4	163W00000X	Registered Nurse	93576	OK

General Provider Information

NPI Number	:	1205343605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCARLETT NICOLE VIRDEN APRN FNPC, AGACNP-BC

Provider Business Mailing Address
First Line	:	10330 STATE HIGHWAY 10
Second Line	:
City	:	PAWHUSKA
State	:	OK
Zip	:	74056-5282
Country	:	US
Telephone Number	:	918-397-5437
Fax Number	:	918-398-9316

Provider Business Practice Location Address
First Line	:	501 SE FRANK PHILLIPS BLVD STE 202
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003-3948
Country	:	US
Telephone Number	:	918-332-5857
Fax Number	:	918-398-9316

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

Provider Enumeration Date	:	01/07/2018
Last Update Date	:	03/17/2026

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