Provider Demographics
NPI:1205518164
Name:STINSON, MASSON HOPE (PMHDNP)
Entity type:Individual
Prefix:MRS
First Name:MASSON
Middle Name:HOPE
Last Name:STINSON
Suffix:
Gender:F
Credentials:PMHDNP
Other - Prefix:
Other - First Name:MASSON
Other - Middle Name:H
Other - Last Name:BAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHMDNP
Mailing Address - Street 1:55 DODGE RD
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1205
Mailing Address - Country:US
Mailing Address - Phone:716-831-2700
Mailing Address - Fax:
Practice Address - Street 1:130 S PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14614-2209
Practice Address - Country:US
Practice Address - Phone:585-205-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY405088363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health