Individual
SHAWNA M MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 E BRUNSON ST STE 200, ENTERPRISE, AL 36330-2500
(334) 393-3686
(334) 347-4906
Mailing address
101 E BRUNSON ST STE 200, ENTERPRISE, AL 36330-2500
(334) 393-3686
(334) 347-4906
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1077919
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00052925
—
AL
01
—
051552925
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/17/2006
Last updated
08/21/2013
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