KRISTIN MARIE MORTENSEN-WARD NPI 1396469730

NPI Information

NPI: 1396469730
Provider Name: KRISTIN MARIE MORTENSEN-WARD
Classification: Midwife, Lay - 175M00000X
Entity Type: Individual
Address:
14100 KENNEDY RD
FULTON, IL
ZIP 61252
Phone: (309) 507-2420
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Kristin Marie Mortensen-ward is a midwife lay in Fulton, IL. The provider is a person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. Kristin Marie Mortensen-ward NPI is 1396469730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14100 KENNEDY RD
FULTON, IL
ZIP 61252-619
Phone: (309) 507-2420

The enumeration date for this NPI number is 9/29/2022 and was last updated on 9/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175M00000X	Midwife, Lay				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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