NPI | 1902353741 |
---|---|
Other Name | JULIE ANN MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024175107) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175107) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.019845) | |
Enumeration Date | 2016-09-09 |
Last Update Date | 2023-11-22 |