Individual
MARIEL KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
108 CARLSON LOOP, FORT HUACHUCA, AZ 85613-1007
(706) 580-4315
Mailing address
108 CARLSON LOOP, FORT HUACHUCA, AZ 85613-1007
(706) 580-4315
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
262827
AZ
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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