National Provider Identifier
Kathy Jo Mistretta, LPN
Kathy Jo Mistretta, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Stafford, NY and a listed phone number of (585) 768-4646.
Profile Overview
- NPI
- 1982927430
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 11, 2010
- Last Updated
- January 15, 2019
Practice Location
- 6620 East Bethany Leroy RD
- Stafford, NY 14143-9565
Phone: (585) 768-4646
Mailing Address
- 4390 York RD
- Leicester, NY 14481-9706
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1982927430
- Entity Type
- Individual
- Last Name
- Mistretta
- First Name
- Kathy
- Middle Name
- Jo
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 4390 York RD
- Mailing City
- Leicester
- Mailing State
- NY
- Mailing ZIP Code
- 14481-9706
- Mailing Country
- US
- Mailing Phone
- (585) 481-0904
- Practice Street Address
- 6620 East Bethany Leroy RD
- Practice City
- Stafford
- Practice State
- NY
- Practice ZIP Code
- 14143-9565
- Practice Country
- US
- Practice Phone
- (585) 768-4646
- Enumeration Date
- March 11, 2010
- Last Updated
- January 15, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)