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NPI Code Detail

MEDICARE: RAGAN BIRCKEL FNP-C

MEDICARE: RAGAN BIRCKEL FNP-C
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
1363LF0000XFamily Nurse Practitioner93364OK

General Provider Information

NPI Number : 1619533700
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAGAN BIRCKEL FNP-C
Provider Business Mailing Address
First Line : PO BOX 1
Second Line :
City : COOKSON
State : OK
Zip : 74427-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 S BLISS AVE
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-2512
Country : US
Telephone Number : 539-234-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2019
Last Update Date : 01/06/2026

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Directions to “ RAGAN BIRCKEL FNP-C” Practice Location

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