MEDICARE: YOUR DIABETES NP, LLC

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1437754389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR DIABETES NP, LLC

Provider Business Mailing Address
First Line	:	11705 BERRY RD STE 301-3
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-5933
Country	:	US
Telephone Number	:	301-799-5850
Fax Number	:

Provider Business Practice Location Address
First Line	:	11705 BERRY RD STE 301-3
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-5933
Country	:	US
Telephone Number	:	301-799-5850
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARGARET MASON
Credential	:	NP
Telephone Number	:	502-432-8744

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	03/12/2026

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Directions to “YOUR DIABETES NP, LLC ” Practice Location

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