AUTUMN ROSE MASON AGACNP-BC NPI 1386305415

NPI Information

NPI: 1386305415
Provider Name: AUTUMN ROSE MASON, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-2222
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Autumn Rose Mason, AGACNP-BC is an acute care nurse practitioner in Boise, ID. Autumn Rose Mason, AGACNP-BC NPI is 1386305415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-2222

The enumeration date for this NPI number is 12/30/2021 and was last updated on 2/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	45530	IDAHO	No
2	363LA2100X	Nurse Practitioner	Acute Care	71748	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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