Individual provider · Type 1 NPI
Lisa Mondiello, AGNP-BC
Gerontology Nurse Practitioner · Edison, NJ
NPI number
1992518781
Active
Practice location
50 Fox Rd Apt 2A
Edison, NJ 08817-4944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 310742 (NY) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ14893200 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1992518781
Lisa Mondiello, AGNP-BC's National Provider Identifier is 1992518781, issued on Jan 28, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Edison, NJ. The record was last updated on Jan 28, 2025.