Individual provider · Type 1 NPI

Lorene Margaret Mistretta, R.N.

Pediatric Registered Nurse · Port Jefferson Station, NY

NPI number 1487831962 Active

Practice location

238 Chestnut St
Port Jefferson Station, NY 11776-3109

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X564009-1 (NY)

Pediatric Registered Nurse: Definition to come...

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About NPI 1487831962

Lorene Margaret Mistretta, R.N.'s National Provider Identifier is 1487831962, issued on Jan 27, 2008. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jan 27, 2008.