Provider Demographics
NPI:1952594319
Name:OXLEY, CARRON J (CRNA)
Entity Type:Individual
Prefix:MS
First Name:CARRON
Middle Name:J
Last Name:OXLEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 633
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33779-0633
Mailing Address - Country:US
Mailing Address - Phone:727-450-3030
Mailing Address - Fax:727-450-3031
Practice Address - Street 1:148 13TH ST SW STE 200
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3127
Practice Address - Country:US
Practice Address - Phone:727-450-3030
Practice Address - Fax:727-450-3031
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016297367500000X
PARN560051367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered