| Doctor Name: | PATRICIA S MASOPUST |
| NPI Number: | 1033217237 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 000932 |
| Business Practice Address: | 132 Mansfield Ave United Services Willimantic, CT - 062262027 |
| Business Phone Number: | 8604562261 |
| Business Fax Number: | |
| Mailing Address: | Po Box 231, 21 Plains Road WINDHAM |
| State: | CT |
| Postal Code: | 062800231 |
| Phone Number: | 8604560406 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 000932 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |