Individual
MRS. MERCEDES LONGSHAW MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
522 E 100 S, SALT LAKE CITY, UT 84102-1905
(801) 485-5055
Mailing address
3204 S HARMONY CIR, SALT LAKE CITY, UT 84109-2706
(925) 262-7059
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
283800-4405
UT
363LG0600X
Gerontology Nurse Practitioner
Primary
283800-4405
UT
Other
Enumeration date
07/27/2021
Last updated
07/30/2025
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