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MAMUA MARY ANDELA MD
NPI 1306465588
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since April 08, 2020
1125 N COLLEGE AVE # SLOT100, FAYETTEVILLE, AR 72703(479) 713-8700(479) 714-8670 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mamua Mary Andela Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAMUA MARY ANDELA MD (NPI 1306465588) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1306465588
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAMUA MARY ANDELACredential: MD
Location Address1125 N COLLEGE AVE # SLOT100Fayetteville, AR 72703-1908
Mailing Address2306 W Piatt LnOlathe, KS 66061-5042 · (913) 231-1338
Phone(479) 713-8700
Fax(479) 714-8670
Sole ProprietorNo
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1306465588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

1125 N COLLEGE AVE # SLOT100, Fayetteville, AR 72703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUWASEUN ABAYOMI OGUNTUASE MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
SASIN PAYAKACHAT MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
JENNIFER SARAH GEORGE DO
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
CHINEMEREM MARTLIN EMEASOBA MBBS
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
LEAH PITTMAN MD
Internal Medicine
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
MOHAMMAD ABEEL TARIQ MD, MBBS
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
JORDAN ILAH POWERS MD
Internal Medicine
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
ZEYTUN MOHAMED GUYO MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mamua Andela's NPI number?

The NPI number for Mamua Andela is 1306465588. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Mamua Andela located?

Mamua Andela practices at 1125 N College Ave # Slot100, Fayetteville, AR 72703. The listed phone number is (479) 713-8700.

What is Mamua Andela's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mamua Andela was last updated on April 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.