MISTI MORTENSEN
NPI 1902250889
Driver in Muse, OK
Active since April 18, 2016
About Misti Mortensen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTI MORTENSEN (NPI 1902250889) is an individual driver provider in Muse, Oklahoma, licensed in Utah (160303451) and active in the NPI registry since April 2016.
NPPES Registry Identity
NPI1902250889
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameMISTI MORTENSEN
Location Address26652 MUSE ROADMuse, OK 74949
Mailing Address26652 Muse RoadMuse, OK 74949 · (435) 790-2159
Phone(435) 790-2159
Sole ProprietorNo
Enumeration DateApril 18, 2016
✔ NPI 1902250889 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in UT · 160303451
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
26652 MUSE ROAD, Muse, OK 74949
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902250889, enumerated as an "individual" on April 18, 2016.
The provider is located at 26652 MUSE ROAD MUSE, OK 74949 and the phone number is (435) 790-2159.
Driver with taxonomy code 172A00000X.
