Provider Demographics
NPI:1043029317
Name:MASON, VICKI LIN (RN)
Entity type:Individual
Prefix:MS
First Name:VICKI
Middle Name:LIN
Last Name:MASON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 S KOLB RD # 7-285
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-9607
Mailing Address - Country:US
Mailing Address - Phone:520-356-3655
Mailing Address - Fax:
Practice Address - Street 1:8701 S KOLB RD # 7-285
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-9607
Practice Address - Country:US
Practice Address - Phone:520-356-3655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN129013163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine