person
Erica Mamauag
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1134652035

Erica Mamauag is a Student in an Organized Health Care Education/Training Program based in Chicago, KY. Erica Mamauag practices in Louisville, KY. The NPI Number for Erica Mamauag is 1134652035 and holds a License No. 59655 (Kentucky).

The current practice location address for Erica Mamauag is 411 E Chestnut St # 4B, Louisville, KY and can be reached out via phone at 502-588-3600 and via fax at 502-588-9536.

Location: 411 E Chestnut St # 4B, Louisville, KY, 60677-6879
person
Provider Profile Details
NPI Number
1134652035
Provider Name
Erica Mamauag
Credential
Provider Entity Type
Individual
Gender
Female
Address
411 E Chestnut St # 4B, Louisville, KY, 60677-6879
Phone Number
502-588-3600
Fax Number
502-588-9536
Provider Enumeration Date
04/06/2017
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59655 01 KY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
411 E Chestnut St # 4B
City
State
Zip
40202-1713
Phone Number
502-588-3600
Fax Number
502-588-9536
person
Provider Business Mailing Address Details
Address
411 E Chestnut St # 4B
City
State
Zip
40202-1713
Phone Number
502-588-3600
Fax Number
502-588-9536
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
59655 (Kentucky)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
License No.
()
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
59655 (Kentucky)
Definition
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.
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