Individual
CORINNE SCARLETT MONGILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
677 PLEASANT ST, SOUTHINGTON, CT 06489-2714
(860) 919-1050
Mailing address
677 PLEASANT ST, SOUTHINGTON, CT 06489-2714
(860) 919-1050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11264
CT
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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