Individual provider · Type 1 NPI

Michael James Mongiello, MSN, MA, NP-C, RN

Gerontology Nurse Practitioner · Fort Myers, FL

NPI number 1265942791 Active

Practice location

8925 Colonial Center Dr Ste 2001
Fort Myers, FL 33905

Fax (239) 343-6571

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

TaxonomyCodeLicense
Oncology Clinical Nurse Specialist 364SX0200XAPRN9382978 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN9382978 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1265942791

Michael James Mongiello, MSN, MA, NP-C, RN's National Provider Identifier is 1265942791, issued on Oct 11, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 31, 2021.