# MICHAEL P BONGIORNO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437475753
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | PN.135636-M-IV | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0027525 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 71016143A | IN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP246670 | AZ | Yes |

## Other

- **Enumeration date:** 04/12/2010
- **Last updated:** 09/24/2026