Oxendine, Suzette Renee

Oxendine, Suzette Renee is an individual health care provider with primary practice located at 307 E Wardell Dr , Pembroke NC 28372-7998. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Oxendine, Suzette Renee can be contacted via phone (910) 521-2816.

Contact Information

Primary practice address
307 E Wardell Dr Pembroke NC 28372-7998
Phone: (910) 521-2816
Fax: (910) 521-3583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-02405 North Carolina

Profile Details

NPI number 1467767053
LBN Legal business name Oxendine, Suzette Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2010
Last updated Jun 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467767053 NPPES
North Carolina Other 0010-02405 LICENSE

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