Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON KAY MORTENSEN, N.P.
ActiveSHANNON KAY MORTENSEN, N.P. is a Nurse Practitioner healthcare provider located in COEUR D'ALENE, Idaho. NPI 1104919695 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · COEUR D'ALENE, ID
Registration Details
- NPI Number
- 1104919695
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.829502582208 yrs)
- Last Updated
- Feb 5, 2009
- License
-
N-31561 (ID)
Practice Information
- Address
-
2288 MERRITT CREEK LOOPCOEUR D'ALENE, ID, 83814Browse ID providers · Browse ZIP 83814
- Phone
- 2086657546
- Fax
- 2086674607
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in COEUR D'ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| J ROYE ELY | N.P. | 1275587180 |
| SUSAN L DUMMER | NP | 1073540605 |
| MARTY J WILLIAMS | FNP | 1255527073 |
| NOELLE MARIE BEIERLE | APRN, NP-C | 1003355298 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.