IndividualActive
Ardenella Kinnison, CNM
NPI 1275664765 · Advanced Practice Midwife · Fortuna, CA
Provider details
- NPI number
- 1275664765
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 1311 (CA)
Practice location
3309 Renner Dr
Fortuna, CA 95540-3119
Phone: (707) 725-6108
Fax: (707) 725-9674
Mailing address
3309 Renner Dr
Fortuna, CA 95540-3119
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2021-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.