Provider Demographics
NPI:1558601351
Name:MASON, SANDRA (RNFA)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6393 N WINDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4332
Mailing Address - Country:US
Mailing Address - Phone:513-503-0806
Mailing Address - Fax:
Practice Address - Street 1:6393 N WINDWOOD DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4332
Practice Address - Country:US
Practice Address - Phone:513-503-0806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.154761163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant