Individual provider · Type 1 NPI

Nicole Grace Mistretta

Physician Assistant · Boston, MA

NPI number 1508473364 Active

Practice location

336 Huntington Ave
Boston, MA 02115

Call (617) 373-3195 Map

Mailing address

136 Hamilton St
Saugus, MA 01906-1531

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA8430

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508473364

Nicole Grace Mistretta's National Provider Identifier is 1508473364, issued on Sep 25, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Jun 3, 2025.