-- SHANNON KAY MORTENSEN -- N.P.
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1104919695- Provider Type
- Individual Provider (NPI-1)
- Credentials
- N.P.
- Status
- Active
Contact & Location
- Address
- 2288 MERRITT CREEK LOOP, COEUR D'ALENE, ID, 83814
- Phone
- (208) 665-7546
- Fax
- (208) 667-4607
Specialties & Taxonomies
Nurse Practitioner
Primary License: ID #N-31561