| Doctor Name: | ANGELIQUE MASON |
| NPI Number: | 1497159032 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP014311 |
| Business Practice Address: | 14 Philadelphia Ave Shillington, PA - 196072757 |
| Business Phone Number: | 6107777781 |
| Business Fax Number: | |
| Mailing Address: | 115 Maci Way, READING |
| State: | PA |
| Postal Code: | 196064009 |
| Phone Number: | 6107414507 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2014 |
| NPI Last Update Date: | 10/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP014311 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |