Provider Demographics
NPI:1821852948
Name:NADEAU, MASON JAMES
Entity Type:Individual
Prefix:
First Name:MASON
Middle Name:JAMES
Last Name:NADEAU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1123
Mailing Address - Street 2:
Mailing Address - City:DUNSEITH
Mailing Address - State:ND
Mailing Address - Zip Code:58329-1123
Mailing Address - Country:US
Mailing Address - Phone:701-389-8648
Mailing Address - Fax:
Practice Address - Street 1:3061 HIGHWAY 281 UNIT 819
Practice Address - Street 2:
Practice Address - City:DUNSEITH
Practice Address - State:ND
Practice Address - Zip Code:58329-7400
Practice Address - Country:US
Practice Address - Phone:701-389-8648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant