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Michael P Bongiorno, NP
Psychiatric/Mental Health Nurse Practitioner in Kingman, Arizona
NPI 1437475753

Michael P Bongiorno is a Psychiatric/Mental Health Nurse Practitioner based in Kingman, AZ and is specialized in Psychiatric/Mental Health. Michael P Bongiorno practices in Kingman, AZ and has the professional credentials of NP. The NPI Number for Michael P Bongiorno is 1437475753 and holds a License No. PN.135636-M-IV (Arizona).

The current practice location address for Michael P Bongiorno is 1741 Sycamore Ave, Kingman, AZ and can be reached out via phone at 928-757-8111. You can also correspond with Michael P Bongiorno through the mailing address at 3798 E LASS AVE, KINGMAN, AZ - 86409-0817 (mailing address contact number: 440-487-6475).

Location: 1741 Sycamore Ave, Kingman, AZ, 86409-0817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437475753
Provider Name
Michael P Bongiorno
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1741 Sycamore Ave, Kingman, AZ, 86409-0817
Phone Number
928-757-8111
Fax Number
Provider Enumeration Date
04/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1741 Sycamore Ave
City
Kingman
State
Arizona
Zip
86409-0927
Phone Number
928-757-8111
Fax Number
person
Provider Business Mailing Address Details
Address
1741 Sycamore Ave
City
Kingman
State
Arizona
Zip
86409-0927
Phone Number
928-757-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
0027525 (Ohio)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
PN.135636-M-IV (Ohio)
Definition
Definition to come...
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