Individual provider · Type 1 NPI

Mark Scott Mistal, RN

General Practice Registered Nurse · Vallejo, CA

NPI number 1073102109 Active

Practice location

815 Fleming Court
Vallejo, CA 94591

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X451493 (CA)

General Practice Registered Nurse: Definition to come...

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About NPI 1073102109

Mark Scott Mistal, RN's National Provider Identifier is 1073102109, issued on Jan 13, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Vallejo, CA. The record was last updated on Jan 13, 2021.