Individual
MR. STEPHEN LYNN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 747-0081
Mailing address
600 STATE ROAD 76 APT 5-21, ESPANOLA, NM 87532-5511
(512) 450-4082
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
56057
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP136365
TX
Other
Enumeration date
05/20/2017
Last updated
07/16/2019
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