Individual
MARY CHRISTINE MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1161 WAYZATA BLVD E # 162, WAYZATA, MN 55391-1935
(763) 373-3856
(763) 363-0333
Mailing address
1161 WAYZATA BLVD E # 162, WAYZATA, MN 55391-1935
(763) 373-3856
(763) 363-0333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 147243-3
MN
Other
Enumeration date
06/22/2011
Last updated
04/02/2025
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