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NPI Code Detail

MEDICARE: CHINA A MORTELL CNM

MEDICARE:   CHINA A MORTELL  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife53-77328-092KS

General Provider Information

NPI Number : 1750838645
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHINA A MORTELL CNM
Provider Business Mailing Address
First Line : 1109 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1602
Country : US
Telephone Number : 785-232-6950
Fax Number : 785-232-4722
Provider Business Practice Location Address
First Line : 1109 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1602
Country : US
Telephone Number : 785-232-6950
Fax Number : 785-232-4722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2016
Last Update Date : 07/07/2021

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Directions to “ CHINA A MORTELL CNM” Practice Location

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