Individual
MICHELLE MASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1727 VAN HISE AVE, MADISON, WI 53726-4043
(910) 859-2322
(608) 265-8060
Mailing address
1727 VAN HISE AVE, MADISON, WI 53726-4043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4785
WI
363LP0200X
Pediatric Nurse Practitioner
4785
WI
Other
Enumeration date
10/15/2010
Last updated
11/29/2021
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