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NPI Code Detail

MEDICARE: MS. MICHELLE OXENDINE FNP

MEDICARE: MS. MICHELLE OXENDINE FNP
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
1363L00000XNurse Practitioner5012357NC

General Provider Information

NPI Number : 1306983325
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE OXENDINE FNP
Provider Business Mailing Address
First Line : PO BOX 129
Second Line :
City : HOLLY RIDGE
State : NC
Zip : 28445-0129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 614 N JK POWELL BLVD
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3008
Country : US
Telephone Number : 910-640-2009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 12/03/2019

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Directions to “ MS. MICHELLE OXENDINE FNP” Practice Location

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