MARY MASUK (NPI# 1215064399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215064399 |
| Entity Type | Individual |
| Full Name | MARY MASUK |
| Credential | FNP, RNC |
| Practice Address |
1111 Stanford Dr Ne Albuquerque NM 87106-3721 |
| Practice Telephone | 5058414149 |
| Mailing Telephone | 5058414149 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
R27602 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1111 STANFORD DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811063340 | Nancy J Novotny | Nurse Practitioner | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2006-11-27 |
| 1497997613 | Clarinda Nunez | Nurse Practitioner | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2009-04-02 |
| 1720287576 | Kim Janetzky | Nurse Practitioner | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2007-07-12 |
| 1932229002 | Estella L Vigil | Nurse Practitioner | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2007-03-30 |
| 1972645497 | Alice Gomez | Nurse Practitioner | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2007-02-12 |
| 1679614622 | Naomi J Kistin | Pediatrics | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2007-02-12 |
| 1316088685 | Margaret Ellen Davidson | Family Medicine | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2007-02-09 |
| 1467592717 | Karen Elaine Beck | Nurse Practitioner | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509403 | Functional Family Medicine | Clinical Nurse Specialist | 7301 Jefferson St Ne Ste G, Albuquerque, NM 87109-4363 | 2014-09-02 |
| 1174850291 | Clinica De La Gloria | Clinical Nurse Specialist | 1720 Bridge Blvd Sw Ste F, Albuquerque, NM 87105-3182 | 2009-11-10 |
| 1659805505 | New Mexico Health Care Clinicians Inc. | Clinical Nurse Specialist | 3911 4th St Nw, Suite A, Albuquerque, NM 87107-2510 | 2017-04-18 |
| 1255480307 | Gloria Vigil | Clinical Nurse Specialist | 1720 Bridge Blvd Sw Ste F, Albuquerque, NM 87105-3182 | 2007-01-09 |
| 1740338086 | Virginia Valentine | Clinical Nurse Specialist | 6100 Pan American Freeway, Ne, Suite 390, Albuquerque, NM 87109-3401 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932469210 | Brenda Jo Neikirk | Clinical Nurse Specialist | 2055 S Pacheco St Ste 300, Santa Fe, NM 87505-0504 | 2012-05-21 |
| 1972758688 | Country Medical Services, LLC | Clinical Nurse Specialist | Nm State Highway 120, #1252 (fyi Rural Address), Pob 203, Ocate, NM 87734-0203 | 2008-11-21 |
| 1336486984 | Julie Shoemake | Clinical Nurse Specialist | 1900 N Dal Paso St, Hobbs, NM 88240-3045 | 2013-01-15 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on MARY MASUK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.