Mortenson, Diane
Mortenson, Diane is an individual health care provider with primary practice located at 6500 Excelsior Blvd , St Louis Park MN 55426-4702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mortenson, Diane can be contacted via phone (952) 993-5222.Contact Information
Primary practice address
6500 Excelsior Blvd
St Louis Park MN 55426-4702
Phone: (952) 993-5222
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R 109024-2 | Minnesota |
Profile Details
NPI number | 1730156142 |
---|---|
LBN Legal business name | Mortenson, Diane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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