MEDICARE: MR. HENRI RAYMOND MASSE GNP

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
1	363LG0600X	Gerontology Nurse Practitioner	5023	CA

General Provider Information

NPI Number	:	1235209636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HENRI RAYMOND MASSE GNP

Provider Business Mailing Address
First Line	:	3554 ROUND BARN BLVD STE 108
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-0930
Country	:	US
Telephone Number	:	707-571-3872
Fax Number	:	707-571-3885

Provider Business Practice Location Address
First Line	:	3554 ROUND BARN BLVD STE 108
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-0930
Country	:	US
Telephone Number	:	707-571-3872
Fax Number	:	707-571-3885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1841355617 — MS. DONNA K LOCKHART NP
Practice Location Address:

3554 ROUND BARN BLVD STE 108
SANTA ROSA, CA
95403-0930

Practice Phone: 707-571-3877
Practice Fax:

1558687251 — LORI ARMAGOST
Practice Location Address:

814 FAYETTE ST
SANTA FE, NM
87505-0930

Practice Phone: 505-470-1684
Practice Fax:

1114418068 — ADAM BRODER DOM
Practice Location Address:

814 FAYETTE ST
SANTA FE, NM
87505-0930

Practice Phone: 773-398-1790
Practice Fax:

1386374122 — KRISTEN HUNTLEY MSW, ASW
Practice Location Address:

28494 WESTINGHOUSE PL
SANTA CLARITA, CA
91355-0930

Practice Phone: 661-259-8200
Practice Fax:

1407604259 — MRS. HALEY GIBSON LMFT
Practice Location Address:

3434 MENDOCINO AVE # A
SANTA ROSA, CA
95403-2274

Practice Phone: 707-284-1978
Practice Fax: 707-708-2188

1629668256 — NATHAN HOLMES FNP
Practice Location Address:

3883 AIRWAY DR STE 202
SANTA ROSA, CA
95403-1671

Practice Phone: 707-573-5261
Practice Fax: 707-573-5414

Directions to “ MR. HENRI RAYMOND MASSE GNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.