Kathleen J Mongillo MS,ARNP,BC

NPI 1023064326 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1023064326
Gender Female
Enumeration Date 05/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 LANCASTER STREET
PORTLAND ME, 04101-2418, US
Phone (207) 772-2133
Fax
Business Location
944 S HIGH ST
BRIDGTON ME, 04009-3919, US
Phone (603) 447-6339
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Maine
License Number R038450
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According to our database, Kathleen J Mongillo MS,ARNP,BC NPI is 1023064326, taxonomy code is 363LP0808X and license number is R038450, license state is located at Maine. Kathleen J Mongillo MS,ARNP,BC physically located at 200 Lancaster Street, Portland ME, 04101-2418. NPI Number Kathleen J Mongillo MS,ARNP,BC has the Individual type.

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1023064326 NPI number is provided on an as is basis without warranty of any kind. 1023064326 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen J Mongillo MS,ARNP,BC are for informational purposes only.