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General NPI Number Information
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NPI Number | 1205033727
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Entity Type | Individual
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Provider Name | JOAN W OXENDINE A-CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10205 BALD HILL ROAD
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City | MITCHELLVILLE
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State | MD
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Zip | 20721
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Country | US
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Telephone | 301-860-4177
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Fax | 301-860-4179
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Provider Business Mailing Address
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Address Line | 14000 JERICHO PARK RD CHRISTA MCAULIFFE RESIDENCE HALL, LL
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City | BOWIE
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State | MD
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Zip | 20715-3319
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Country | US
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Telephone | 301-860-4177
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Fax | 301-860-4179
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | R062449
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License Number State | MD
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