Provider Demographics
NPI:1396292587
Name:BRIXEY, ANGELA GAIL (APRN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:GAIL
Last Name:BRIXEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 W JOE ST
Mailing Address - Street 2:
Mailing Address - City:STROUD
Mailing Address - State:OK
Mailing Address - Zip Code:74079-3840
Mailing Address - Country:US
Mailing Address - Phone:918-290-0207
Mailing Address - Fax:
Practice Address - Street 1:1003 W JOE ST
Practice Address - Street 2:
Practice Address - City:STROUD
Practice Address - State:OK
Practice Address - Zip Code:74079-3840
Practice Address - Country:US
Practice Address - Phone:918-290-0207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK86497163W00000X
KS5377741051363LP2300X
OKR0086497363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care