Individual
CARRIE MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1924 S UTICA AVE STE 400, TULSA, OK 74104-6510
(918) 212-4694
Mailing address
1924 S UTICA AVE STE 400, TULSA, OK 74104-6510
(918) 212-4694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0089036
OK
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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