MR. LYNN FRED MASSONG ARNP NPI 1306808514

NPI Information

NPI: 1306808514
Provider Name: MR. LYNN FRED MASSONG, ARNP
Classification: Registered Nurse - 163WN0002X
Entity Type: Individual

Specialization: Neonatal Intensive Care

PECOS Registration: Yes

Address:
2811 TIETON DR
YAKIMA, WA
ZIP 98902
Phone: (509) 574-5822
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MR. Lynn Fred Massong, ARNP is a neonatal intensive care registered nurse in Yakima, WA. MR. Lynn Fred Massong, ARNP NPI is 1306808514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2811 TIETON DR
YAKIMA, WA
ZIP 98902-761
Phone: (509) 574-5822

The NPI 1306808514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 7/19/2007.

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	163WN0002X	Registered Nurse	Neonatal Intensive Care	AP30003123	WASHINGTON	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: 4/28/2024

NPI Synchronization or Removal

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