Individual
PATRICIA S MASOPUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
132 MANSFIELD AVE, UNITED SERVICES, WILLIMANTIC, CT 06226-2027
(860) 456-2261
Mailing address
PO BOX 231, 21 PLAINS ROAD, WINDHAM, CT 06280-0231
(860) 456-0406
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000932
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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