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Individual

SCARLETT NICOLE VIRDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN FNPC, AGACNP-BC

Contact information

Practice address
1201 E HARTFORD AVE, PONCA CITY, OK 74601-2018
(580) 762-1911
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
93576
OK
363LA2100X
Acute Care Nurse Practitioner
93576
OK
363LA2200X
Adult Health Nurse Practitioner
93576
OK
363LF0000X
Family Nurse Practitioner
Primary
93576
OK

Other

Enumeration date
01/07/2018
Last updated
06/23/2026
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