NPI 1104919695

Shannon Kay Mortensen, NP

Practitioner Nurse Practitioner Coeur D'Alene, ID

Practice location

Address: 2288 Merritt Creek Loop, Coeur D'Alene, ID 83814
Phone: (208) 665-7546
Fax: (208) 667-4607

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence N-31561 (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1104919695
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2006
Record last updated: 5 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.