Organization
ENM WELLNESS & MORE
Active
Other names
MERGING MINDS HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MAHONE APRN (OWNER)
(502) 314-1247
Entity
Organization
Contact information
Practice address
801 W BROADWAY STE 4, LOUISVILLE, KY 40202-2236
(502) 963-5803
Mailing address
4205 NANEEN DR, LOUISVILLE, KY 40216-3973
(502) 314-1247
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100596910
—
KY
Enumeration date
05/15/2019
Last updated
11/06/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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