Theresa Louise Mortensen in Santa Rosa - Nurse Practitioner
Theresa Louise Mortensen - NPI 1972683753
Theresa Louise Mortensen is a Nurse Practitioner in Santa Rosa, California. Theresa Louise Mortensen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Theresa Louise Mortensen is 1972683753. The last update date is 2021-11-08.
Theresa Louise Mortensen's current location address is 3555 Round Barn Cir, Santa Rosa, California. You can contact this provider via phone number 7075281050 and fax number 7075253874. The mailing address for Theresa Louise Mortensen is 3555 Round Barn Cir, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theresa Louise Mortensen |
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Address | 3555 Round Barn Cir, Santa Rosa, California |
Phone Number | 7075281050 |
Fax Number | 7075253874 |
Sole Proprietor | N |
Credentials | N.P. |
NPI Number Detail
NPI Number | 1972683753 |
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Provider Enumeration Date | 2006-10-16 |
Last Updated Date | 2021-11-08 |
Provider Mailing Address Detail
Address | 3555 Round Barn Cir |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954031757 |
Phone Number | 7075281050 |
Fax Number | 7075253874 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 402482 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
RN402482 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Theresa Louise Mortensen by the Centers for Medicare & Medicaid Services?
The Theresa Louise Mortensen has been issued the NPI (National Provider Identifier) 1972683753 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Theresa Louise Mortensen?
The Theresa Louise Mortensen is situated at 3555 Round Barn Cir, in the city of Santa Rosa, state of CA, with the zip code 954031757.
What is Theresa Louise Mortensen's area of expertise and its corresponding taxonomy classification?
The Theresa Louise Mortensen's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1972683753 to Theresa Louise Mortensen?
The Theresa Louise Mortensen received its 1972683753 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date was the information regarding Theresa Louise Mortensen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theresa Louise Mortensen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-08.
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