Individual
MASON MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC 20036-1728
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP500012149
DC
363LF0000X
Family Nurse Practitioner
0024185472
VA
Other
Enumeration date
02/06/2023
Last updated
05/05/2025
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