Provider Demographics
NPI:1215906672
Name:MASSON, JOYCE K (RN)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:K
Last Name:MASSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 W WISCONSIN AVE
Mailing Address - Street 2:APARTMENT#208
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-5704
Mailing Address - Country:US
Mailing Address - Phone:262-567-5888
Mailing Address - Fax:
Practice Address - Street 1:S44W23565 AMY JAMES DR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53189-7974
Practice Address - Country:US
Practice Address - Phone:262-542-6551
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43088-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse