Tanya Marie Mason, RN, BSN

Individual provider Active NPI General Practice Registered Nurse · Inchelium, WA

NPI 1033411830 · NPPES record last updated Nov 30, 2010

Key facts

NPI
1033411830
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
RN00170803 (WA)
Practice address
39 Shortcut Rd
Inchelium, WA 99138
Phone
(509) 722-7006
Fax
(509) 722-7021
NPI assigned
Nov 30, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00170803WAMDMedical-Surgical Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN00170803 WA
General Practice Registered Nurse 163WG0000X RN00170803 WA Yes
Infusion Therapy Registered Nurse 163WI0500X RN00170803 WA
Medical-Surgical Registered Nurse 163WM0705X RN00170803 WA
Ambulatory Care Registered Nurse 163WP2201X RN00170803 WA
Wound Care Registered Nurse 163WW0000X RN00170803 WA
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN00170803 WA

Addresses

Primary practice location

39 Shortcut Rd
Inchelium, WA 99138

Mailing address

PO Box 290
Inchelium, WA 99138-0290
Phone (509) 722-7692

Other providers in Inchelium, WA

All providers in Inchelium, WA · General Practice Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.