Individual
MS. NANCY MARIE MASON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2200 WOODWARD HTS, FERNDALE, MI 48220-3007
(248) 543-4138
(248) 543-4252
Mailing address
43800 GARFIELD RD, SUITE 201, CLINTON TOWNSHIP, MI 48038-1136
(586) 228-4652
(586) 228-4520
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704149798
MI
363LS0200X
School Nurse Practitioner
4704149798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0865710
BCBS PIN
MI
01
—
4704149798
LICENSE
MI
05
—
4830520
—
MI
Enumeration date
05/24/2006
Last updated
09/11/2025
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