| Doctor Name: | MS. REGINA C MASON |
| NPI Number: | 1619992922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | VP003969H |
| Business Practice Address: | 1515 The Fairway Rydal, PA - 19046 |
| Business Phone Number: | 2158856800 |
| Business Fax Number: | 2158852491 |
| Mailing Address: | 4508 Chestnut St, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191393608 |
| Phone Number: | 2155733632 |
| Fax Number: | 2155736848 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | VP003969H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |