DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIKAELA M PERIBONIO, AGNP-C

Active

MIKAELA M PERIBONIO, AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in MARIETTA, Georgia. NPI 1811610553 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · MARIETTA, GA

Registration Details

NPI Number
1811610553
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2022 (3.867917958354 yrs)
Last Updated
Nov 20, 2025
Licenses
RN291729 (GA)
NP291729 (GA)

Practice Information

Address
790 CHURCH ST NE STE 300
MARIETTA, GA, 300608940
Browse GA providers · Browse ZIP 30060
Phone
7704223290
Fax
7704220287
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in MARIETTA, GA

Name Credential NPI
CYNTHIA ANN PASTORINO ARNP 1790846376
ALISON ANTHONY SCHLENGER MSN, APRN-BC 1144461039
MRS. ROSEMARY ELAINE TAORMINA AGPCNP-BC 1083049050
JENENE ROBERTS 1528423050
MRS. LONNIE JONES MSN, CNL, AGNP-C 1639616089
NHU-THAO THI NGUYEN 1427552165
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.