Individual
MARY Y MASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
RN046593-AP03532
LA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP03532
LA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN046593
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04434717
—
MS
05
—
1152200
—
LA
Enumeration date
07/23/2006
Last updated
01/29/2008
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