Provider Demographics
NPI:1659941060
Name:MASON, SIMA JAFFARI (MSN, DNP, CRNA)
Entity type:Individual
Prefix:MS
First Name:SIMA
Middle Name:JAFFARI
Last Name:MASON
Suffix:
Gender:F
Credentials:MSN, DNP, CRNA
Other - Prefix:
Other - First Name:SIMA
Other - Middle Name:KATHERINE
Other - Last Name:JAFFARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, DNP, CRNA
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:525 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2110
Practice Address - Country:US
Practice Address - Phone:408-230-1665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN727245163W00000X
DCCRNA1044920367500000X
NC7564367500000X
VA0024190891367500000X
OHAPRN.CRNA.0021181367500000X
MDR241951367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse