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Individual
HEATHER NICOLE MASON
Active
Individual
HEATHER NICOLE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005033
KY
363LF0000X
Family Nurse Practitioner
5033P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000573918
ANTHEM
KY
01
—
000000765758
ANTHEM-NCMA
KY
01
—
114762
SIHO - NCMA
KY
05
—
201150490
—
IN
01
—
50037753
PASSPORT - NCMA
KY
05
—
7100062660
—
KY
Enumeration date
11/02/2006
Last updated
07/12/2016
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