Individual
MISS PAULA VIDA MASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13 PECK ST, NORTH HAVEN, CT 06473-2308
(203) 239-4627
(203) 234-8533
Mailing address
13 PECK ST, NORTH HAVEN, CT 06473-2308
(203) 239-4627
(203) 234-8533
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002893
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004232302
—
CT
Enumeration date
01/04/2007
Last updated
07/01/2021
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