| Mrs Kathy Jo Mistretta, LPN | |
|
6620 East Bethany Leroy Rd, Stafford, NY 14143-9565 | |
| (585) 768-4646 | |
| Not Available |
| Full Name | Mrs Kathy Jo Mistretta |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 6620 East Bethany Leroy Rd, Stafford, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982927430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 253381-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathy Jo Mistretta, LPN 4390 York Rd, Leicester, NY 14481-9706 Ph: (585) 481-0904 | Mrs Kathy Jo Mistretta, LPN 6620 East Bethany Leroy Rd, Stafford, NY 14143-9565 Ph: (585) 768-4646 |
Aubrey Ann Wilday, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6620 E Bethany Leroy Rd, Stafford, NY 14143 Phone: 585-768-4646 | |
Ms. Michelle Lynn Feary, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6620 E Bethany Leroy Rd, Stafford, NY 14143 Phone: 585-768-4646 |