Mingilino, Scott D

Mingilino, Scott D is an individual health care provider with primary practice located at 5910 77Th St Ste A , Kenosha WI 53142-4104. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mingilino, Scott D can be contacted via phone (262) 649-5303.

Contact Information

Primary practice address
5910 77Th St Ste A Kenosha WI 53142-4104
Phone: (262) 649-5303
Fax: (262) 315-1700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7989-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7989-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7989-33 Wisconsin

Profile Details

NPI number 1770090102
LBN Legal business name Mingilino, Scott D
Credentials FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2018
Last updated Oct 29th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1770090102 NPPES
Wisconsin MEDICAID 100074157

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