Individual
BROOKE MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-8650
(608) 263-6420
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
236228-30
WI
363L00000X
Nurse Practitioner
Primary
13549-33
WI
363LF0000X
Family Nurse Practitioner
13549-33
WI
Other
Enumeration date
10/18/2018
Last updated
05/08/2024
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