Individual
BRENT MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1938 AL HIGHWAY 157 STE 101, CULLMAN, AL 35058-1819
(256) 739-4030
Mailing address
234 COUNTY ROAD 1408, CULLMAN, AL 35058-0539
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-118166
AL
Other
Enumeration date
03/17/2016
Last updated
01/03/2025
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