Provider Demographics
NPI:1184985848
Name:MASON, MARISA
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 56TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6574
Mailing Address - Country:US
Mailing Address - Phone:202-352-5298
Mailing Address - Fax:
Practice Address - Street 1:1818 NEW YORK AVE SUITE 117
Practice Address - Street 2:GLOBAL HEALTHCARE INC.
Practice Address - City:NE
Practice Address - State:DC
Practice Address - Zip Code:20002
Practice Address - Country:US
Practice Address - Phone:202-480-0813
Practice Address - Fax:202-503-2363
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health Aide