SHANNON MORTENSEN, N.P.

Nurse Practitioner

Active Individual
NPI: 1104919695

Practice Address

2288 MERRITT CREEK LOOP
Coeur D'alene, ID 83814

Phone: (208) 665-7546

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes N-31561 (ID)

Frequently Asked Questions

NPI 1104919695 is the National Provider Identifier for SHANNON MORTENSEN, N.P., a Nurse Practitioner provider located in Coeur D'alene, ID. This NPI was enumerated on October 2, 2006.
SHANNON MORTENSEN, N.P. practices at 2288 MERRITT CREEK LOOP, Coeur D'alene, ID 83814.

Quick Facts

NPI
1104919695
Type
Individual
Enumerated
Oct 2, 2006
Last Updated
Feb 5, 2009

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