NPI | 1053977041 |
---|---|
Doing Business As | MERGING MINDS HEALTHCARE |
Entity Type | Organization |
Authorized Contact | ERICA MAHONE Owner 502-314-1247 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2019-05-15 |
Last Update Date | 2019-11-06 |