Individual
DAZIA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2746 VIRGINIA AVE, LOUISVILLE, KY 40211-3417
(502) 815-7040
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014363
KY
Other
Enumeration date
02/19/2020
Last updated
07/18/2024
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