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NPI Code Detail

MEDICARE: MR. SHAYNE ALAN MASON NP

MEDICARE: MR. SHAYNE ALAN MASON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse746300CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner21026CA

General Provider Information

NPI Number : 1952588709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHAYNE ALAN MASON NP
Provider Business Mailing Address
First Line : 401 PARKER AVE
Second Line : #2
City : SAN FRANCISCO
State : CA
Zip : 94118-4270
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2210 CLAY ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-1930
Country : US
Telephone Number : 415-776-4647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2008
Last Update Date : 01/29/2019

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