Individual
MS. GAYLE MARIE MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1619 HILLSBORO DR, LAYTON, UT 84040-8250
(801) 865-5450
Mailing address
1619 HILLSBORO DR, LAYTON, UT 84040-8250
(801) 865-5450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
279741-4405
UT
Other
Enumeration date
10/27/2020
Last updated
11/19/2020
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