Provider Demographics
NPI:1629372693
Name:OXLEY, BARBARA ANN BERENS (NMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN BERENS
Last Name:OXLEY
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 N 16TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-1705
Mailing Address - Country:US
Mailing Address - Phone:602-279-5448
Mailing Address - Fax:602-279-3691
Practice Address - Street 1:6130 N 16TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-1705
Practice Address - Country:US
Practice Address - Phone:602-279-5448
Practice Address - Fax:602-279-3691
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01-670175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath