Individual provider · Type 1 NPI

Russell Mongiovi

Licensed Practical Nurse · Depew, NY

NPI number 1922337674 Active

Practice location

98 Lou Ann Dr
Depew, NY 14043-1212

Call (716) 601-7720 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X284056-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1922337674

Russell Mongiovi's National Provider Identifier is 1922337674, issued on Dec 9, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Depew, NY. The record was last updated on Dec 9, 2009.