TABITHA L MASON FNP
NPI 1043056658
Nurse Practitioner - Family in Elk Grove, CA
Active since July 03, 2024
About Tabitha L Mason Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABITHA L MASON FNP (NPI 1043056658) is an individual family provider in Elk Grove, California, licensed in California (95030805) and active in the NPI registry since July 2024.
NPPES Registry Identity
NPI1043056658
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTABITHA L MASONCredential: FNP
Location Address8125 SHELDON RD #103Elk Grove, CA 95758-1271
Mailing Address8125 Sheldon Rd Apt 103Elk Grove, CA 95758-1271 · (661) 433-9133
Phone(661) 433-9133
Sole ProprietorYes
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1043056658 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95030805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043056658, enumerated as an "individual" on July 03, 2024.
The provider is located at 8125 SHELDON RD #103 ELK GROVE, CA 95758 and the phone number is (661) 433-9133.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
