Individual
JACQUELINE N MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN350779L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001544526
HIGHMARK
PA
01
—
1147552
AETNA-HMO
PA
01
—
2228343000
INDEPENDENCE BLUE CROSS
PA
01
—
50055746
KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
7252729
AETNA-NON HMO
PA
01
—
90996
GEISINGER
PA
01
—
P00054070
RR MEDICARE
PA
Enumeration date
03/15/2006
Last updated
03/30/2011
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