Healthcare Provider Details

I. General information

NPI: 1932139797
Provider Name (Legal Business Name): MARIE HELEN MASON MS, ARNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 48TH AVE SW
NORMAN OK
73072-4902
US

IV. Provider business mailing address

4350 WILL ROGERS PKWY SUITE 600
OKLAHOMA CITY OK
73108-1826
US

V. Phone/Fax

Practice location:
  • Phone: 405-366-8800
  • Fax: 405-366-7854
Mailing address:
  • Phone: 405-943-1144
  • Fax: 405-943-0127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberR0029205
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: