Mark Scott Mistal, RN
Registered Nurse, General Practice in Vallejo, CA. Individual provider (NPI-1).
NPI number1073102109
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1073102109
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Scott Mistal
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2021
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 451493 | CA | Yes |
Practice location
815 Fleming CourtVallejo, CA 94591
Phone 707-400-4373
Mailing address
815 Fleming CourtVallejo, CA 94591
Phone 707-400-4373
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Nurse, General Practice providers in Vallejo, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.