Individual
MS. MASON S. MAULSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3460 DEPEW AVE, ALLIED CENTER FOR THERAPY, PORT CHARLOTTE, FL 33952
(941) 764-6300
(941) 764-7297
Mailing address
PO BOX 510298, ALLIED CENTER FOR THERAPY / MANUEL GALLEGO MD PA, PUNTA GORDA, FL 33951
(941) 764-6300
(941) 764-7297
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP2158002
FL
Other
Enumeration date
10/20/2009
Last updated
02/01/2013
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