Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | AP130769 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | 26NR14542800 | NJ |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP130769 | TX |
NPI | 1548666373 |
---|---|
Provider Name | Afsheen Masood |
First Address | Camden, NJ 08103-1088 |
Second Address | Pasadena, TX 77504-1202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2014 |
Last Update Date | 10/06/2019 |