Individual provider · Type 1 NPI
Brett Mortenson
Pediatric Nurse Practitioner · Vista, CA
NPI number
1700216561
Active
Practice location
1000 Vale Terrace Dr
Vista, CA 92084-5218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95000018 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1700216561
Brett Mortenson's National Provider Identifier is 1700216561, issued on Nov 14, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Vista, CA. The record was last updated on Nov 14, 2013.