DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMBERLEY NOEL MORTENSEN, LATC

Active Sole Proprietor

AMBERLEY NOEL MORTENSEN, LATC is a Specialist healthcare provider located in SOUTH DUXBURY, Vermont. NPI 1871637876 is currently active in the NPPES registry. Verify at CMS.

Specialist · SOUTH DUXBURY, VT

Registration Details

NPI Number
1871637876
Provider Type
Individual
Gender
Female
NPI Issued
Feb 16, 2007 (19.469017236107 yrs)
Last Updated
Jul 8, 2007
License
104-0000130 (VT)
Sole Proprietor
Yes

Practice Information

Address
458 VT ROUTE 100
HARWOOD UNION HIGH SCHOOL
SOUTH DUXBURY, VT, 056609128
Browse VT providers · Browse ZIP 05660
Phone
8028821121
Fax
8028821198
Primary Specialty
Specialist
174400000X
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.