Individual
JOSEPH MASHNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
460 MEDICAL PARK DR STE 200, WATERVLIET, MI 49098-9225
(269) 463-3600
(269) 463-8206
Mailing address
460 MEDICAL PARK DR STE 200, WATERVLIET, MI 49098-9225
(269) 463-3600
(269) 463-8206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
47-04-141572
MI
363L00000X
Nurse Practitioner
Primary
4704141572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104208690
—
MI
05
—
104208705
—
MI
05
—
104208714
—
MI
05
—
104208723
—
MI
05
—
140294150
—
MI
Enumeration date
08/22/2005
Last updated
08/15/2023
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