Mark Scott Mistal, RN

General Practice Registered Nurse · Vallejo, CA

Individual Active NPI

NPI number 1073102109

Practice location

815 Fleming Court
Vallejo, CA 94591
Phone
(707) 400-4373

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NPI record

NPI
1073102109
Entity type
Individual (Type 1)
Enumeration date
January 13, 2021
Last updated
January 13, 2021
Certified
January 13, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Registered Nurse Primary 163WG0000X 451493 CA

About Mark Mistal

Mark Scott Mistal, RN is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Registered Nurse (code 163WG0000X). The practice location is 815 Fleming Court, Vallejo, CA 94591. The NPI number 1073102109 was assigned on January 13, 2021 and the record was last updated on January 13, 2021.

Mark Mistal lists a license in the registry: #451493 (CA) for General Practice Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Scott Mistal, RN?

The NPI number is 1073102109.

What is the phone number of Mark Mistal?

The phone number listed for the practice location is (707) 400-4373.

Where is Mark Mistal located?

815 Fleming Court, Vallejo, CA 94591.

What is the taxonomy code for Mark Mistal?

The primary taxonomy code is 163WG0000X – General Practice Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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