Individual
TAMARAH MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
203 VAUGHAN MEMORIAL DR, SELMA, AL 36701-6950
(334) 375-8007
(334) 526-1849
Mailing address
PO BOX 570, SELMA, AL 36702-0570
(334) 375-8007
(334) 877-4763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-049707
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-52699
BCBS
AL
05
—
630900049
—
AL
05
—
630902049
—
AL
05
—
630904049
—
AL
Enumeration date
06/10/2006
Last updated
09/17/2019
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