MRS. MERCEDES LONGSHAW MORTENSEN AGNP-C NPI 1811660764

NPI Information

NPI: 1811660764
Provider Name: MRS. MERCEDES LONGSHAW MORTENSEN, AGNP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
522 E 100 S
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 485-5055
Get Directions

MRS. Mercedes Longshaw Mortensen, AGNP-C is an adult health nurse practitioner in Salt Lake City, UT. MRS. Mercedes Longshaw Mortensen, AGNP-C NPI is 1811660764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

522 E 100 S
SALT LAKE CITY, UT
ZIP 84102-905
Phone: (801) 485-5055

The NPI 1811660764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2021 and was last updated on 7/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	283800-4405	UTAH	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	283800-4405	UTAH	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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