NPI 1902250889

Misti Mortensen

Practitioner Driver Muse, OK

Practice location

Address: 26652 Muse Road, Muse, OK 74949
Phone: (435) 790-2159

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 160303451 (UT)

Other Driver providers in Oklahoma →

Registry record

NPI: 1902250889
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2016
Record last updated: 18 Apr 2016

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.