person
Kathleen J Mongillo, MS,ARNP,BC
Psychiatric/Mental Health Nurse Practitioner in Portland, Maine
NPI 1023064326

Kathleen J Mongillo is a Psychiatric/Mental Health Nurse Practitioner based in Bridgton, ME and is specialized in Psychiatric/Mental Health. Kathleen J Mongillo practices in Portland, ME and has the professional credentials of MS,ARNP,BC. The NPI Number for Kathleen J Mongillo is 1023064326 and holds a License No. R038450 (Maine).

The current practice location address for Kathleen J Mongillo is 200 Lancaster Street, Portland, ME and can be reached out via phone at 207-772-2133.

Location: 200 Lancaster Street, Portland, ME, 04009-3919
person
Provider Profile Details
NPI Number
1023064326
Provider Name
Kathleen J Mongillo
Credential
MS,ARNP,BC
Provider Entity Type
Individual
Gender
Female
Address
200 Lancaster Street, Portland, ME, 04009-3919
Phone Number
207-772-2133
Fax Number
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
200 Lancaster Street
City
State
Zip
04101-2418
Phone Number
207-772-2133
Fax Number
person
Provider Business Mailing Address Details
Address
200 Lancaster Street
City
State
Zip
04101-2418
Phone Number
207-772-2133
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R038450 (Maine)
Definition
Definition to come...
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