Individual
MS. SHELLIE RENE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10072
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0010072-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82287759
—
CO
Enumeration date
07/07/2009
Last updated
10/17/2018
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