Masterson, Marcella Antoinette

Masterson, Marcella Antoinette is an individual health care provider with primary practice located at 1310 Fortino Blvd Ste D , Pueblo CO 81008-2076. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Masterson, Marcella Antoinette can be contacted via phone (719) 582-1898.

Contact Information

Primary practice address
1310 Fortino Blvd Ste D Pueblo CO 81008-2076
Phone: (719) 582-1898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN.1640139 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0996394-NP Colorado

Profile Details

NPI number 1811591852
LBN Legal business name Masterson, Marcella Antoinette
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2020
Last updated Mar 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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