Individual
MS. MARY MICHELLE MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
5950 UNIVERSITY AVE, STE 151, WEST DES MOINES, IA 50266
(515) 875-9192
(515) 875-9193
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9313
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A-099553
IA
Other
Enumeration date
09/30/2005
Last updated
08/17/2021
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