Individual
NICOLE KINDNESS MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
2020 W 16TH ST, SAFFORD, AZ 85546-4026
(928) 424-4444
Mailing address
2020 W 16TH ST, SAFFORD, AZ 85546-4026
(928) 424-4444
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP9568
AZ
367A00000X
Advanced Practice Midwife
Primary
AP9562
AZ
Other
Enumeration date
10/19/2016
Last updated
12/01/2016
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