Deanna L Mistretta, LPN is a
Licensed Practical Nurse based in Olivet, Michigan. Deanna L Mistretta is licensed to practice in Michigan (license number 4703115548) and her current practice location is
4740 W Butterfield Hwy Apt 3, Olivet, Michigan. She can be reached at her office (for appointments etc.) via phone at
(610) 657-9323.
NPI number for Deanna L Mistretta is 1245600063 and her current mailing address is 4740 W Butterfield Hwy Apt 3, Olivet, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245600063.
Provider's Profile
Full Name | Deanna L Mistretta |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 4740 W Butterfield Hwy Apt 3, Olivet, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245600063
- Provider Enumeration Date: 10/06/2015
- Last Update Date: 10/06/2015
Medical Identifiers
Medical identifiers for Deanna L Mistretta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245600063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703115548 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deanna L Mistretta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Deanna L Mistretta, LPN 4740 W Butterfield Hwy Apt 3, Olivet, MI 49076-9416 Ph: (610) 657-9323 | Deanna L Mistretta, LPN 4740 W Butterfield Hwy Apt 3, Olivet, MI 49076-9416 Ph: (610) 657-9323 |
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