Provider Demographics
NPI:1215181904
Name:OXENDINE, AUBREY KEITH (RN)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:KEITH
Last Name:OXENDINE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9520 TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-2186
Mailing Address - Country:US
Mailing Address - Phone:910-266-9181
Mailing Address - Fax:
Practice Address - Street 1:9520 TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-2186
Practice Address - Country:US
Practice Address - Phone:910-266-9181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-09
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC171028163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency