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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTIN MARIE MORTENSEN-WARD, CPM, LM CPM, LCPM

Active Sole Proprietor

KRISTIN MARIE MORTENSEN-WARD, CPM, LM CPM, LCPM is a Midwife healthcare provider located in FULTON, Illinois. NPI 1396469730 is currently active in the NPPES registry. Verify at CMS.

Midwife · FULTON, IL

Registration Details

NPI Number
1396469730
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2022 (3.8855169115574 yrs)
Last Updated
Feb 24, 2025
Licenses
528-49 (WI)
CPM0003 (IL)
295.000022 (IL)
Sole Proprietor
Yes

Practice Information

Address
14100 KENNEDY RD
FULTON, IL, 612529619
Browse IL providers · Browse ZIP 61252
Phone
3095072420
Primary Specialty
Midwife
176B00000X
Additional Specialty
Midwife
Additional Specialty
Midwife
Additional Specialty
Midwife
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.