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NPI Code Detail

MEDICARE: AMBER DAWN OXLEY LPN

MEDICARE:   AMBER DAWN OXLEY  LPN
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
1164W00000XLicensed Practical NursePN.130561-MEDSOH

General Provider Information

NPI Number : 1568735868
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER DAWN OXLEY LPN
Provider Business Mailing Address
First Line : 1771 S CHARLESTON RD
Second Line :
City : JAMESTOWN
State : OH
Zip : 45335-9731
Country : US
Telephone Number : 937-559-3469
Fax Number :
Provider Business Practice Location Address
First Line : 1771 S CHARLESTON RD
Second Line :
City : JAMESTOWN
State : OH
Zip : 45335-9731
Country : US
Telephone Number : 937-559-3469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2012
Last Update Date : 02/16/2012

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Directions to “ AMBER DAWN OXLEY LPN” Practice Location

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