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Contact Information

MARY KERN, CNM, FNP-C
23141 MOULTON PKWY STE 108
LAGUNA HILLS, CA92653
 Phone: 949-215-7575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY KERN · (Female)

NPI # 1659899664
Status Active
Credentials CNM, FNP-C
Entity Individual
Enumeration date 08/30/2017
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 74780
  • CA License # 95007186
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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