National Provider Identifier
Holly Jennifer Mistark, RN
Holly Jennifer Mistark, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Brighton, NY and a listed phone number of (585) 504-4167.
Source: public NPPES record, last updated May 25, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1033857404
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 25, 2022
- Last Updated
- May 25, 2022
Practice Location
- 2617 East Ave
- Brighton, NY 14610-3149
Phone: (585) 504-4167
Mailing Address
- 330 E Commercial St
- East Rochester, NY 14445-1504
Specialties
- Registered Nurse (163W00000X)
Endpoints
- Rochester
Connect Url | Health Information Exchange (Hie) | Brighton, NY 14610
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Full Record
- NPI
- 1033857404
- Entity Type
- Individual
- Last Name
- Mistark
- First Name
- Holly
- Middle Name
- Jennifer
- Credential
- RN
- Mailing Street Address
- 330 E Commercial St
- Mailing City
- East Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14445-1504
- Mailing Country
- US
- Mailing Phone
- (585) 430-8664
- Practice Street Address
- 2617 East Ave
- Practice City
- Brighton
- Practice State
- NY
- Practice ZIP Code
- 14610-3149
- Practice Country
- US
- Practice Phone
- (585) 504-4167
- Enumeration Date
- May 25, 2022
- Last Updated
- May 25, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 25, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)