Individual
MS. PHYLLIS J MASON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
911 N BROADWAY, BALTIMORE, MD 21205-1119
(410) 614-6062
Mailing address
33 CHAMPIONSHIP CT, OWINGS MILLS, MD 21117-5409
(410) 902-7716
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R061925
MD
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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