MISTI MORTENSEN

Driver

Active Individual
NPI: 1902250889

Practice Address

26652 MUSE ROAD
Muse, OK 74949

Phone: (435) 790-2159

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 160303451 (UT)

Frequently Asked Questions

NPI 1902250889 is the National Provider Identifier for MISTI MORTENSEN, a Driver provider located in Muse, OK. This NPI was enumerated on April 18, 2016.
MISTI MORTENSEN practices at 26652 MUSE ROAD, Muse, OK 74949.

Quick Facts

NPI
1902250889
Type
Individual
Enumerated
Apr 18, 2016
Last Updated
Apr 18, 2016

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