Individual provider · Type 1 NPI

Kayla Rose Mungillo, NP

Nurse Practitioner · Boston, MA

NPI number 1144947367 Active

Practice location

330 Brookline Ave
Boston, MA 02215-5491

Mailing address

22 Elm Ave
Woburn, MA 01801-3231

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2342977 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144947367

Kayla Rose Mungillo, NP's National Provider Identifier is 1144947367, issued on Oct 27, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Aug 3, 2026.