Individual provider · Type 1 NPI

Sydney Dawn Mortensen

Student in an Organized Health Care Education/Training Program · Spanish Fork, UT

NPI number 1053776807 Active

Practice location

2958 E Somerset Dr
Spanish Fork, UT 84660-5050

Call (801) 885-6246 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X178482586 (UT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053776807

Sydney Dawn Mortensen's National Provider Identifier is 1053776807, issued on Dec 21, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spanish Fork, UT. The record was last updated on Dec 21, 2015.