Individual provider · Type 1 NPI
Mason Borud
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1184459133
Active
Practice location
550 N 3rd Street, Health North Building, 3rd Floor
Phoenix, AZ 85004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14505 (MN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 205406 (ND) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1184459133
Mason Borud's National Provider Identifier is 1184459133, issued on Sep 6, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 1, 2026.