Healthcare Provider Details

I. General information

NPI: 1841447117
Provider Name (Legal Business Name): OAKLAND UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 MEADOW BROOK RD
ROCHESTER MI
48309-4452
US

IV. Provider business mailing address

408 MEADOW BROOK RD
ROCHESTER MI
48309-4452
US

V. Phone/Fax

Practice location:
  • Phone: 248-370-2341
  • Fax: 248-370-2691
Mailing address:
  • Phone: 248-370-2341
  • Fax: 248-370-2691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANN KATHLEEN RAYFORD
Title or Position: DIRECTOR
Credential: NP
Phone: 248-370-2341