Healthcare Provider Details

I. General information

NPI: 1851175996
Provider Name (Legal Business Name): BRIDGET MASON NMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3243 E INDIAN SCHOOL RD STE 102
PHOENIX AZ
85018-5024
US

IV. Provider business mailing address

17900 N HAYDEN RD APT 3056
SCOTTSDALE AZ
85255-6732
US

V. Phone/Fax

Practice location:
  • Phone: 480-420-0882
  • Fax:
Mailing address:
  • Phone: 602-777-1735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number23-1813
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: