| Doctor Name: | FELICIA KUPLAST |
| NPI Number: | 1538581541 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN168042 |
| Business Practice Address: | 175 Walnut Rd Wrentham, MA - 020931022 |
| Business Phone Number: | 5089544929 |
| Business Fax Number: | 5075900431 |
| Mailing Address: | 175 Walnut Rd, WRENTHAM |
| State: | MA |
| Postal Code: | 020931022 |
| Phone Number: | 9787442999 |
| Fax Number: | 9787442993 |
| NPI Enumeration Date: | 01/09/2014 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | RN168042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |