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Contact Information

KELLY JO MASTEN, APRN-RNP
2175 W 16TH ST UNIT D
SAFFORD, AZ85546-0842
 Phone: 928-651-6372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Obstetric, Inpatient

163WX0003X
Indicates primary specialty

NPI Profile & details for KELLY JO MASTEN · (Female)

NPI # 1871292789
Status Active
Credentials APRN-RNP
Entity Individual
Enumeration date 02/28/2023
Last updated 03/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 304698
  • AZ License # RN212349
  • AZ Medicaid 304698
  • AZ Medicaid RN212349
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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