Mason, Charlotte K

Mason, Charlotte K is an individual health care provider with primary practice located at 1110 Maple Way , Jackson WY 83002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mason, Charlotte K can be contacted via phone (307) 733-7003.

Contact Information

Primary practice address
1110 Maple Way Jackson WY 83002
Phone: (307) 733-7003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17365.721 Wyoming

Profile Details

NPI number 1710069273
LBN Legal business name Mason, Charlotte K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710069273 NPPES
Wyoming Other 311661 BLUE CROSS BLUE SHIELD WY

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