Individual provider · Type 1 NPI

Mary Elizabeth Pagano, FNP-C

Nurse Practitioner · Godfrey, IL

NPI number 1962980979 Active

Practice location

5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510

Fax (618) 619-3390

Mailing address

660 Mason Ridge Center Dr Ste 300
St. Louis, MO 63141-8512

Other practice locations

  • 2022 Dorsett Vlg, Maryland Heights, MO 63043-2208 · (314) 590-0520

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209017735 (IL)
Family Nurse Practitioner 363LF0000X2018012503 (MO)
General Practice Registered Nurse 163WG0000X041453981 (IL)
General Practice Registered Nurse 163WG0000X2002007982 (MO)
Family Nurse Practitioner 363LF0000X209017735 (IL)

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…

16 other providers at this address

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About NPI 1962980979

Mary Elizabeth Pagano, FNP-C's National Provider Identifier is 1962980979, issued on Aug 1, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Godfrey, IL. The record was last updated on Sep 19, 2025.