Healthcare Provider Details

I. General information

NPI: 1083732804
Provider Name (Legal Business Name): VALERIE A MASOTTI MS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE A WEST MS, PA-C

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 WALTER REED RD STE 101
FAYETTEVILLE NC
28304-4417
US

IV. Provider business mailing address

1340 WALTER REED RD STE 202
FAYETTEVILLE NC
28304-4451
US

V. Phone/Fax

Practice location:
  • Phone: 910-504-3506
  • Fax: 910-504-3507
Mailing address:
  • Phone: 910-504-3506
  • Fax: 910-504-3507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-00358
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: