Mason, Renae

Mason, Renae is an individual health care provider with primary practice located at 3143 Magic Hollow Blvd Suite 200, Virginia Beach VA 23453-3077. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mason, Renae can be contacted via phone (757) 385-8222.

Contact Information

Primary practice address
3143 Magic Hollow Blvd Suite 200 Virginia Beach VA 23453-3077
Phone: (757) 385-8222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001057129 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 140826030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024057129 Virginia

Profile Details

NPI number 1548267701
LBN Legal business name Mason, Renae
Credentials MS, RN, CS, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2005
Last updated Jan 6th, 2016 - about 8 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 1548267701 NPPES
Virginia MEDICAID 18615624725

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