Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICHOLE MASK
Active Sole ProprietorMRS. NICHOLE MASK is a Community/Behavioral Health healthcare provider located in LAKELAND, Florida. NPI 1164197455 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · LAKELAND, FL
Registration Details
- NPI Number
- 1164197455
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2021 (5.0500410386164 yrs)
- Last Updated
- Aug 10, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
3500 LONGVIEW LNLAKELAND, FL, 338124219Browse FL providers · Browse ZIP 33812
- Phone
- 5023568206
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.