MEDICARE: MS. NANCY MARIE MASON N.P.

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	363LP0200X	Pediatric Nurse Practitioner	4704149798	MI
2	363LS0200X	School Nurse Practitioner	4704149798	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0865710	OTHER	MI	BCBS PIN
3	4704149798	OTHER	MI	LICENSE

General Provider Information

NPI Number	:	1639124670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY MARIE MASON N.P.

Provider Business Mailing Address
First Line	:	43800 GARFIELD RD
Second Line	:	SUITE 201
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-1136
Country	:	US
Telephone Number	:	586-228-4652
Fax Number	:	586-228-4520

Provider Business Practice Location Address
First Line	:	2200 WOODWARD HTS
Second Line	:
City	:	FERNDALE
State	:	MI
Zip	:	48220-3007
Country	:	US
Telephone Number	:	248-543-4138
Fax Number	:	248-543-4252

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1851593032 — MS. JETTE ENGELUND FRIIS LPC, NCC, CRC
Practice Location Address:

2200 WOODWARD HTS
FERNDALE, MI
48220-3007

Practice Phone: 248-543-4138
Practice Fax: 248-543-4253

1821755752 — MICHELLE COOPER
Practice Location Address:

27 FERNDALE AVE
SELDEN, NY
11784-3007

Practice Phone: 631-672-9252
Practice Fax:

1720825326 — LUKE CORDER
Practice Location Address:

1860 MOORHOUSE ST
FERNDALE, MI
48220-1195

Practice Phone: 517-614-6017
Practice Fax:

1134610207 — DEENA CHABAAN PA-C
Practice Location Address:

911 E 9 MILE RD
FERNDALE, MI
48220-1934

Practice Phone: 248-336-4000
Practice Fax: 248-336-9137

1669284246 — MCKENNA KATHERINE EBERT DPT
Practice Location Address:

911 E 9 MILE RD
FERNDALE, MI
48220-1934

Practice Phone: 248-336-4000
Practice Fax:

1295132926 — MR. CHRISTOPHER MICHAEL GADOUA PA-C
Practice Location Address:

911 E 9 MILE RD
FERNDALE, MI
48220-1934

Practice Phone: 248-336-4000
Practice Fax:

Directions to “ MS. NANCY MARIE MASON N.P.” 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.