Provider Demographics
NPI:1750838645
Name:MORTELL, CHINA A (CNM)
Entity type:Individual
Prefix:
First Name:CHINA
Middle Name:A
Last Name:MORTELL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1109 SW TOPEKA BLVD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66612-1602
Mailing Address - Country:US
Mailing Address - Phone:785-232-6950
Mailing Address - Fax:785-232-4722
Practice Address - Street 1:1109 SW TOPEKA BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66612-1602
Practice Address - Country:US
Practice Address - Phone:785-232-6950
Practice Address - Fax:785-232-4722
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS53-77328-092367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife