Individual provider · Type 1 NPI
Matthew Mendillo, APRN, FNP-C
Family Nurse Practitioner · Philadelphia, PA
NPI number
1467090415
Active
Practice location
100 S Juniper St Fl 3
Philadelphia, PA 19107-1316
Fax (888) 973-8821
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Other practice locations
- 118 Nature Park Rd, Greensburg, PA 15601-6960 · (412) 515-2239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 346239 (AZ) |
| Family Nurse Practitioner | 363LF0000X | APRN11037015 (FL) |
| Family Nurse Practitioner | 363LF0000X | 31801 (SC) |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0036815 (OH) |
| Family Nurse Practitioner | 363LF0000X | 41459 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | SP021250 (PA) |
| Family Nurse Practitioner | 363LF0000X | 5023866 (NC) |
| Family Nurse Practitioner | 363LF0000X | 230894 (OK) |
| Family Nurse Practitioner | 363LF0000X | 3-003046 (AL) |
| Family Nurse Practitioner | 363LF0000X | LG-0013457 (DE) |
Family Nurse Practitioner: Definition to come...
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About NPI 1467090415
Matthew Mendillo, APRN, FNP-C's National Provider Identifier is 1467090415, issued on Dec 19, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 30, 2026.