Provider Demographics
NPI:1811393713
Name:ASKEW, ROXANNE (LPN)
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:ASKEW
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30300 TELEGRAPH RD
Mailing Address - Street 2:SUITE 123
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4507
Mailing Address - Country:US
Mailing Address - Phone:248-430-0200
Mailing Address - Fax:
Practice Address - Street 1:30300 TELEGRAPH RD
Practice Address - Street 2:SUITE 123
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4507
Practice Address - Country:US
Practice Address - Phone:248-430-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703076949164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse