Mongillo, Kathleen J

Mongillo, Kathleen J is an individual health care provider with primary practice located at 200 Lancaster Street , Portland ME 04101-2418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mongillo, Kathleen J can be contacted via phone (207) 772-2133.

Contact Information

Primary practice address
200 Lancaster Street Portland ME 04101-2418
Phone: (207) 772-2133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R038450 Maine

Profile Details

NPI number 1023064326
LBN Legal business name Mongillo, Kathleen J
Credentials MS,ARNP,BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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