SHANNON KAY MORTENSEN

COEUR D'ALENE, ID
NPI1104919695
Former NameSHANNON KAY ARMSTRONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  N-31561)
Enumeration Date2006-10-02
Last Update Date2009-02-05
Business Address
-- SHANNON KAY MORTENSEN N.P.
2288 MERRITT CREEK LOOP
COEUR D'ALENE, ID 83814
Phone number: 208-665-7546
Mailing Address
-- SHANNON KAY MORTENSEN N.P.
2288 MERRITT CREEK LOOP
COEUR D'ALENE, ID 83814
Phone number: 208-665-7546
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