Individual
PATRICIA LYNN MORTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-7032
Mailing address
14876 KELLEHER CT, SAVAGE, MN 55378-2996
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R1078921
MN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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