Individual provider · Type 1 NPI

Julie Petro Mongiello, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1508364043 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1000 Map

Mailing address

4106 Meadow Ln
Newtown Square, PA 19073-1612

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XVP005388D (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508364043

Julie Petro Mongiello, CRNP's National Provider Identifier is 1508364043, issued on Jan 30, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 30, 2018.