MARY CHRISTINE MASSARO FNP
NPI 1700172350
Nurse Practitioner - Family in Wayzata, MN

Active since June 22, 2011
1161 WAYZATA BLVD E # 162, WAYZATA, MN 55391(763) 373-3856(763) 363-0333 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 2, 2025, May 4, 2023, May 20, 2022 (3 updates tracked since 2022).

About Mary Christine Massaro Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CHRISTINE MASSARO FNP (NPI 1700172350) is an individual family provider in Wayzata, Minnesota, licensed in Minnesota (R 147243-3) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1700172350
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY CHRISTINE MASSAROCredential: FNP
Location Address1161 WAYZATA BLVD E # 162Wayzata, MN 55391-1935
Mailing Address1161 Wayzata Blvd E # 162Wayzata, MN 55391-1935 · (763) 373-3856 · Fax (763) 363-0333
Fax(763) 363-0333
Sole ProprietorYes
Enumeration DateJune 22, 2011
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1700172350 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 MN · R 147243-3
1161 WAYZATA BLVD E # 162, Wayzata, MN 55391

Other Names 1

Former Name (1)Mary Christine Mcnabney Np

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1161 WAYZATA BLVD E # 162
WAYZATA, MN 55391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Massaro's NPI number?

The NPI number for Mary Massaro is 1700172350. It was assigned to this individual provider in the NPPES registry on June 22, 2011. The provider is also known as Mary Christine Mcnabney Np.

Where is Mary Massaro located?

Mary Massaro practices at 1161 Wayzata Blvd E # 162, Wayzata, MN 55391. The listed phone number is (763) 373-3856.

What is Mary Massaro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Massaro was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.