Healthcare Provider Details

I. General information

NPI: 1407685829
Provider Name (Legal Business Name): MARY DARDEN MASON DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY ASTON DARDEN BSN, RN

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 02/10/2025
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10324 OLD OCEAN CITY BLVD
BERLIN MD
21811
US

IV. Provider business mailing address

9733 HEALTHWAY DRIVE
BERLIN MD
21811
US

V. Phone/Fax

Practice location:
  • Phone: 410-629-0041
  • Fax: 410-629-0544
Mailing address:
  • Phone: 410-641-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR266414
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR266414
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: