Individual provider · Type 1 NPI
Stephen Tyler Mascaro
Psychiatric/Mental Health Registered Nurse · Culver City, CA
NPI number
1205551900
Active
Practice location
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95105229 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1205551900
Stephen Tyler Mascaro's National Provider Identifier is 1205551900, issued on Oct 5, 2022. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Culver City, CA. The record was last updated on Oct 5, 2022.