ANDREW JOHN MISTRETTA LPN
NPI 1053180281
Licensed Practical Nurse in Las Vegas, NV

Active since December 28, 2023
4040 S EASTERN AVE, LAS VEGAS, NV 89119(702) 463-0300(702) 463-0301 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew John Mistretta Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW JOHN MISTRETTA LPN (NPI 1053180281) is an individual licensed practical nurse in Las Vegas, Nevada, licensed in Nevada (856950) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1053180281
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameANDREW JOHN MISTRETTACredential: LPN
Location Address4040 S EASTERN AVELas Vegas, NV 89119-0810
Mailing Address3050 S Nellis Blvd Apt 1052Las Vegas, NV 89121-7763 · (951) 515-3049
Fax(702) 463-0301
Sole ProprietorNo
Enumeration DateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
NPI 1053180281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NV · 856950
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4040 S EASTERN AVE, Las Vegas, NV 89119

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
4040 S EASTERN AVE
LAS VEGAS, NV 89119
Licensed Practical Nurse
4040 S EASTERN AVE
LAS VEGAS, NV 89119
Registered Nurse
4040 S EASTERN AVE
LAS VEGAS, NV 89119
Registered Nurse
4040 S EASTERN AVE
LAS VEGAS, NV 89119
Licensed Practical Nurse
4040 S EASTERN AVE
LAS VEGAS, NV 89119
Registered Nurse (Home Health)
4040 S EASTERN AVE
LAS VEGAS, NV 89119
Registered Nurse
4040 S EASTERN AVE
LAS VEGAS, NV 89119
Registered Nurse (Home Health)
4040 S EASTERN AVE
LAS VEGAS, NV 89119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Mistretta's NPI number?

The NPI number for Andrew Mistretta is 1053180281. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Andrew Mistretta located?

Andrew Mistretta practices at 4040 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 463-0300.

What is Andrew Mistretta's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Andrew Mistretta was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.