Individual
MELISSA INEZ MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(251) 401-4697
Mailing address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(251) 401-4697
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R190975
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
R190975
MD
Other
Enumeration date
05/04/2018
Last updated
11/19/2018
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