Doctor Name: | DR. THERESA LOUISE MASON |
NPI Number: | 1235170879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, CRNP |
License Number: | RN311298 |
Business Practice Address: | 7660 Refugee Rd Sw Pataskala, OH - 430627764 |
Business Phone Number: | 7409640615 |
Business Fax Number: | |
Mailing Address: | 7660 Refugee Rd Sw, PATASKALA |
State: | OH |
Postal Code: | 430627764 |
Phone Number: | 7409640615 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | RN311298 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |