Kathleen J Mongillo, MS,ARNP,BC Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Portland, ME

NPI

1023064326

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

R038450 (ME)

Sex

Female

Sole proprietor

No

Enumerated

2006-05-26

Last updated

2007-07-08