Theresa Louise Mortensen N.P.

NPI 1972683753 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1972683753
Gender Female
Enumeration Date 10/16/2006
Last Updated 03/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3555 ROUND BARN CIR
SANTA ROSA CA, 95403-1757, US
Phone (707) 528-1050
Fax (707) 525-3874
Business Location
3555 ROUND BARN CIR
SANTA ROSA CA, 95403-1757, US
Phone (707) 528-1050
Fax (707) 525-3874
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number 402482
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According to our database, Theresa Louise Mortensen N.P. NPI is 1972683753, taxonomy code is 363L00000X and license number is 402482, license state is located at California. Theresa Louise Mortensen N.P. physically located at 3555 Round Barn Cir, Santa Rosa CA, 95403-1757. NPI Number Theresa Louise Mortensen N.P. has the Individual type.

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1972683753 NPI number is provided on an as is basis without warranty of any kind. 1972683753 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Louise Mortensen N.P. are for informational purposes only.