Mason, Tamarah
Mason, Tamarah is an individual health care provider with primary practice located at 203 Vaughan Memorial Dr , Selma AL 36701-6950. 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, Tamarah can be contacted via phone (334) 375-8007.Contact Information
Primary practice address
203 Vaughan Memorial Dr
Selma AL 36701-6950
Phone: (334) 375-8007
Fax: (334) 526-1849
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-049707 | Alabama |
Profile Details
NPI number | 1104867837 |
---|---|
LBN Legal business name | Mason, Tamarah |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2006 |
Last updated | Sep 17th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104867837 | NPPES |
Alabama | MEDICAID | 630902049 | |
Alabama | MEDICAID | 630904049 | |
Alabama | MEDICAID | 630900049 | |
Alabama | Other | 511-52699 |
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