Shannon K. Mortensen, N.P.
Nurse Practitioner · Coeur D'Alene, ID
UnclaimedN.P.NPI 1104919695
- Primary taxonomy
- 363L00000X
- Enumerated
- 2006-10-02
- Practice location
- Coeur D'Alene, ID
- Last NPPES update
- 2009-02-05
State licenses
- ID · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.