Individual
ABIGAIL SMITH MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3875 STADIUM WAY DEPT 3903, OGDEN, UT 84408-3903
(385) 326-7147
Mailing address
3781 W 4475 S, WEST HAVEN, UT 84401-9612
(385) 326-7147
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
12456160-3102
UT
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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