ANDREW JOHN MISTRETTA LPN NPI 1053180281

NPI Information

  • NPI: 1053180281
  • Provider Name: ANDREW JOHN MISTRETTA, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 4040 S EASTERN AVE
    LAS VEGAS, NV
    ZIP 89119
  • Phone: (702) 463-0300

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NPI Details

Andrew John Mistretta, LPN is a licensed practical nurse in Las Vegas, NV. The provider is a licensed practical nurse 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. Andrew John Mistretta, LPN NPI is 1053180281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4040 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119-810
Phone: (702) 463-0300
Fax: (702) 463-0301

The enumeration date for this NPI number is 12/28/2023 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse856950NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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