MICHAEL P BONGIORNO NP NPI 1437475753

NPI Information

NPI: 1437475753
Provider Name: MICHAEL P BONGIORNO, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1741 SYCAMORE AVE
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-8111
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Michael P Bongiorno, NP is a psychiatric/mental health nurse practitioner in Kingman, AZ with 4 years of experience. Michael P Bongiorno, NP NPI is 1437475753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1741 SYCAMORE AVE
KINGMAN, AZ
ZIP 86409-927
Phone: (928) 757-8111

The NPI 1437475753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		PN.135636-M-IV	OHIO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP246670	ARIZONA	Yes
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0027525	OHIO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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