MAMUA MARY ANDELA (NPI# 1306465588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306465588 |
| Entity Type | Individual |
| Full Name | MAMUA MARY ANDELA |
| Credential | MD |
| Practice Address |
1125 N College Ave # Slot100 Fayetteville AR 72703-1908 |
| Mailing Address |
2306 W Piatt Ln Olathe KS 66061-5042 |
| Practice Telephone | 4797138700 |
| Practice Fax Number | 4797148670 |
| Mailing Telephone | 9132311338 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1125 N COLLEGE AVE # SLOT100 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578095055 | Tsungyen Chen | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2017-04-03 |
| 1467071357 | Vivek Malhotra | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-10 |
| 1578192837 | Dalton Vance Hoose | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-07 |
| 1003445370 | Alshaimaa Hazaa | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-07 |
| 1477182756 | Erika Yissel Jasso | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-07 |
| 1104455732 | Ethan Scott Anderson | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-06 |
| 1083243620 | Alex Easton Belote | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-06 |
| 1447889001 | Punith Reddy Thogaripally | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-06 |
| 1972132645 | Yash Shah | Internal Medicine | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-05 |
| 1841853751 | Steven Blake O'brien | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276471 | Henrietta Elise Mckoy | Student in an Organized Health Care Education/Training Program | 913 Liberty Ln, Fayetteville, NC 28311-3073 | 2020-08-20 |
| 1346869567 | Sahiba Bajwa | Student in an Organized Health Care Education/Training Program | Uams Northwest Campus, 1125 N. College Avenue, Slot 100, Fayetteville, AR 72703-1908 | 2020-04-09 |
| 1982239463 | Ashley A Bethea | Student in an Organized Health Care Education/Training Program | 4422 Spinel Dr, Fayetteville, NC 28311-6862 | 2020-03-05 |
| 1730719329 | Jessica Claire Perrett | Student in an Organized Health Care Education/Training Program | 150 Oak Shadow Way, Fayetteville, GA 30215-2985 | 2020-01-22 |
| 1215579263 | Hallie Hawe | Student in an Organized Health Care Education/Training Program | 2084 N Chestnut Ave Apt 13, Fayetteville, AR 72703-2242 | 2019-10-10 |
| 1457992877 | Daniel Ross Barber | Student in an Organized Health Care Education/Training Program | 503 Blessings Hill Ln, Fayetteville, TN 37334-9710 | 2019-10-07 |
| 1982160982 | Timothy Glenn Higgins | Student in an Organized Health Care Education/Training Program | 1689 N Whistling Straits Ave Apt 301, Fayetteville, AR 72704-6679 | 2019-02-14 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1053821165 | Yancy T. Dials | Student in an Organized Health Care Education/Training Program | 340 Ridgemont Dr, Fayetteville, GA 30215-7708 | 2017-10-03 |
| 1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MAMUA MARY ANDELA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.