Provider Demographics
NPI:1487349791
Name:MASON, NISHA (DOULA)
Entity type:Individual
Prefix:
First Name:NISHA
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 ALLSTON CT
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-8472
Mailing Address - Country:US
Mailing Address - Phone:517-395-5746
Mailing Address - Fax:
Practice Address - Street 1:419 ALLSTON CT
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-8472
Practice Address - Country:US
Practice Address - Phone:517-395-5746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171400000XOther Service ProvidersHealth & Wellness Coach