Healthcare Provider Details

I. General information

NPI: 1619565041
Provider Name (Legal Business Name): MARIA HELENE OXFORD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 12/31/2020
Certification Date: 12/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10891 TROUTMAN RD
MIDLAND NC
28107-6760
US

IV. Provider business mailing address

10891 TROUTMAN RD
MIDLAND NC
28107-6760
US

V. Phone/Fax

Practice location:
  • Phone: 704-425-6113
  • Fax:
Mailing address:
  • Phone: 704-425-6113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number113834
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number113834
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: