Individual provider · Type 1 NPI

Logan Mortenson

Student in an Organized Health Care Education/Training Program · Cape Coral, FL

NPI number 1477465052 Active

Practice location

1128 SE 31st Ter
Cape Coral, FL 33904-3977

Call (239) 258-1392 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1477465052

Logan Mortenson's National Provider Identifier is 1477465052, issued on Sep 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cape Coral, FL. The record was last updated on Sep 19, 2026.