AUTUMN MASON, AGACNP-BC
Nurse Practitioner - Acute Care
Active
Individual
NPI: 1386305415
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - General Practice | 163WG0000X | No | 45530 (ID) |
| Nurse Practitioner - Acute Care | 363LA2100X | Yes | 71748 (ID) |
Frequently Asked Questions
NPI 1386305415 is the National Provider Identifier for AUTUMN MASON, AGACNP-BC, a Nurse Practitioner - Acute Care provider located in Boise, ID. This NPI was enumerated on December 30, 2021.
AUTUMN MASON, AGACNP-BC practices at 190 E BANNOCK ST, Boise, ID 83712.
Quick Facts
- NPI
- 1386305415
- Type
- Individual
- Enumerated
- Dec 30, 2021
- Last Updated
- Feb 22, 2022
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