Shannon Kay Mortensen, N.P.
NPI #1104919695 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1104919695
- Entity Type
- Individual
- Name
- Shannon Kay Mortensen, N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- N.P.
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Feb 5, 2009
Practice Location
- Address
- 2288 MERRITT CREEK LOOP
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 665-7546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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