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Mrs. Kathy Jo Mistretta, LPN
Licensed Practical Nurse in Stafford, New York
NPI 1982927430

Kathy Jo Mistretta is a Licensed Practical Nurse based in Leicester, NY. Kathy Jo Mistretta practices in Stafford, NY and has the professional credentials of LPN. The NPI Number for Kathy Jo Mistretta is 1982927430 and holds a License No. 253381-1 (New York).

The current practice location address for Kathy Jo Mistretta is 6620 East Bethany Leroy Rd, Stafford, NY and can be reached out via phone at 585-768-4646.

Location: 6620 East Bethany Leroy Rd, Stafford, NY, 14481-9706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982927430
Provider Name
Kathy Jo Mistretta
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
6620 East Bethany Leroy Rd, Stafford, NY, 14481-9706
Phone Number
585-768-4646
Fax Number
Provider Enumeration Date
03/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6620 East Bethany Leroy Rd
City
Stafford
State
New York
Zip
14143-9565
Phone Number
585-768-4646
Fax Number
person
Provider Business Mailing Address Details
Address
6620 East Bethany Leroy Rd
City
Stafford
State
New York
Zip
14143-9565
Phone Number
585-768-4646
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
253381-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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