Healthcare Provider Details

I. General information

NPI: 1710840897
Provider Name (Legal Business Name): ROBIN OXENDINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 CARLONIE DR
PEMBROKE NC
28372-1310
US

IV. Provider business mailing address

460 CARLONIE DR
PEMBROKE NC
28372-1310
US

V. Phone/Fax

Practice location:
  • Phone: 910-280-8945
  • Fax:
Mailing address:
  • Phone: 910-280-8945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: