Provider Demographics
NPI:1497163968
Name:MASONER, MEREDITH (CNM)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:MASONER
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:100 AIRPORT GARDENS RD
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9529
Mailing Address - Country:US
Mailing Address - Phone:606-487-7503
Mailing Address - Fax:606-439-6987
Practice Address - Street 1:2004 CUMBERLAND AVE
Practice Address - Street 2:STE 100
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-1299
Practice Address - Country:US
Practice Address - Phone:606-248-3015
Practice Address - Fax:606-248-3024
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2017-02-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife