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NPI Code Detail

MEDICARE: ANN LOUISE MASON FNP

MEDICARE: ANN LOUISE MASON FNP
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
1363LF0000XFamily Nurse PractitionerR31004ND

General Provider Information

NPI Number : 1952696049
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN LOUISE MASON FNP
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1750 47TH AVE S
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-7595
Country : US
Telephone Number : 701-757-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2011
Last Update Date : 08/02/2022

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Directions to “ ANN LOUISE MASON FNP” Practice Location

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