MS. NANCY MARIE MASON N.P. NPI 1639124670

NPI Information

NPI: 1639124670
Provider Name: MS. NANCY MARIE MASON, N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
2200 WOODWARD HTS
FERNDALE, MI
ZIP 48220
Phone: (248) 543-4138
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MS. Nancy Marie Mason, N.P. is a pediatrics nurse practitioner in Ferndale, MI with 15 years of experience. MS. Nancy Marie Mason, N.P. NPI is 1639124670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 WOODWARD HTS
FERNDALE, MI
ZIP 48220-007
Phone: (248) 543-4138
Fax: (248) 543-4252

The NPI 1639124670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	4704149798	MICHIGAN	Yes
2	363LS0200X	Nurse Practitioner	School	4704149798	MICHIGAN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4830520	MEDICAID	MICHIGAN
2	4704149798	OTHER	MICHIGAN	LICENSE
3	0865710	OTHER	MICHIGAN	BCBS PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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