Provider Demographics
NPI:1386672863
Name:OXENDINE, VICTORIA FAYE (NP)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:FAYE
Last Name:OXENDINE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 936857
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-6857
Mailing Address - Country:US
Mailing Address - Phone:910-662-9300
Mailing Address - Fax:910-662-9301
Practice Address - Street 1:1725 NEW HANOVER MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-5345
Practice Address - Country:US
Practice Address - Phone:910-662-9300
Practice Address - Fax:910-662-9301
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2021-05-26
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Provider Licenses
StateLicense IDTaxonomies
NC201357363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7000196Medicaid
NCP12089Medicare UPIN
NC7000196Medicaid