Individual
LEAH G OXENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 THOMAS JOHNSON DR, FREDERICK, MD 21702
(301) 663-6171
(301) 695-4469
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171530
VA
363LF0000X
Family Nurse Practitioner
Primary
AC002485
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222635900
—
MD
01
—
AC002485
STATE LICENSE
MD
Enumeration date
02/24/2014
Last updated
12/01/2023
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