Individual provider · Type 1 NPI
Kathleen J. Mongillo, MS, ARNP, BC
Psychiatric/Mental Health Nurse Practitioner · Portland, ME
NPI number
1023064326
Active
Practice location
200 Lancaster Street
Portland, ME 04101-2418
Mailing address
944 S High St
Bridgton, ME 04009-3919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R038450 (ME) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1023064326
Kathleen J. Mongillo, MS, ARNP, BC's National Provider Identifier is 1023064326, issued on May 26, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.