Individual
ASHLEY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5715 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348-4776
(734) 600-7873
Mailing address
5715 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348-4776
(734) 600-7873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704293891
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704293891NSA230WS
MI
Other
Enumeration date
12/08/2020
Last updated
11/01/2023
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