# THERESA MASONBRINK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770805277
- **Gender:** F
- **Credential:** APRN, CNS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024185167 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 101.0136168TELE | VT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 4704276138 | MI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNS.11227 | OH | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 5031 | CA | — |

## Other

- **Enumeration date:** 02/24/2010
- **Last updated:** 07/08/2025