# HEATHER NICOLE MASON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245318666
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3005033 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | 5033P | KY | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 07/12/2016

## 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 |