Mortensen, Mercedes Longshaw

Mortensen, Mercedes Longshaw is an sole proprietor health care provider with primary practice located at 522 E 100 S , Salt Lake City UT 84102-1905. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mortensen, Mercedes Longshaw can be contacted via phone (801) 485-5055.

Contact Information

Primary practice address
522 E 100 S Salt Lake City UT 84102-1905
Phone: (801) 485-5055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 283800-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 283800-4405 Utah

Profile Details

NPI number 1811660764
LBN Legal business name Mortensen, Mercedes Longshaw
Credentials AGNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2021
Last updated Jul 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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