KRISTIN MARIE MORTENSEN-WARD

FULTON, IL
NPI1396469730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: IL  295.000022)
Additional Taxonomies175M00000X Midwife, Lay
176B00000X Midwife
(Licence: WI  528-49)
176B00000X Midwife
(Licence: IL  CPM0003)
Enumeration Date2022-09-29
Last Update Date2025-02-24
Business Address
KRISTIN MARIE MORTENSEN-WARD CPM, LM CPM, LCPM
14100 KENNEDY RD
FULTON, IL 61252-9619
Phone number: 309-507-2420
Mailing Address
KRISTIN MARIE MORTENSEN-WARD CPM, LM CPM, LCPM
14100 KENNEDY RD
FULTON, IL 61252-9619
Phone number: 309-507-2420