Individual
MARY KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP-C
Contact information
Practice address
23141 MOULTON PKWY STE 108, LAGUNA HILLS, CA 92653
(949) 215-7575
Mailing address
23141 MOULTON PKWY STE 108, LAGUNA HILLS, CA 92653-1241
(949) 215-7575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74780
CA
363LF0000X
Family Nurse Practitioner
95007186
CA
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/30/2018
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