MEDICARE: ERICA BARGELL

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	163W00000X	Registered Nurse	78071	NE

General Provider Information

NPI Number	:	1821962929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA BARGELL

Provider Business Mailing Address
First Line	:	2717 W 1ST ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-4456
Country	:	US
Telephone Number	:	308-221-0284
Fax Number	:	308-535-2662

Provider Business Practice Location Address
First Line	:	300 E 3RD ST RM 302
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-4026
Country	:	US
Telephone Number	:	308-535-2666
Fax Number	:	308-535-2662

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

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/24/2025

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Directions to “ ERICA BARGELL ” Practice Location

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