| NPI | 1063178853 |
|---|---|
| Doing Business As | MERGING MINDS HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | ERICA MAHONE Owner/Provider 502-314-1247 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |