Individual
JULENE ELLEN MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4333 PAN AMERICAN FWY NE STE B, ALBUQUERQUE, NM 87107-6833
(505) 266-3835
Mailing address
4333 PAN AMERICAN FWY NE STE B, ALBUQUERQUE, NM 87107-6833
(505) 266-3835
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
70000
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70000
NM BOARD OF NURSING CNP LICENSE #
NM
Enumeration date
11/10/2022
Last updated
04/14/2026
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