Doctor Name: | MRS. JOAN W OXENDINE |
NPI Number: | 1205033727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A-CRNP |
License Number: | R062449 |
Business Practice Address: | 10205 Bald Hill Road Mitchellville, MD - 20721 |
Business Phone Number: | 3018604177 |
Business Fax Number: | 3018604179 |
Mailing Address: | 14000 Jericho Park Rd, Christa Mcauliffe Residence Hall, Ll BOWIE |
State: | MD |
Postal Code: | 207153319 |
Phone Number: | 3018604177 |
Fax Number: | 3018604179 |
NPI Enumeration Date: | 06/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1400X |
License Number: | R062449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | College Health |
Taxonomy Definition: |