Organization
MERCY ANESTHESIA GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY MORTENSON MD (PRESIDENT)
(305) 285-2191
Entity
Organization
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 285-2191
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
09/11/2025
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