Individual provider · Type 1 NPI

Mercedes Longshaw Mortensen, AGNP-C

Gerontology Nurse Practitioner · Salt Lake City, UT

NPI number 1811660764 Active

Practice location

522 E 100 S
Salt Lake City, UT 84102-1905

Mailing address

3204 S Harmony Cir
Salt Lake City, UT 84109-2706

Other practice locations

  • 5169 S Cottonwood St Ste 500, Murray, UT 84107-6770 · (801) 507-5152

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X283800-4405 (UT)
Gerontology Nurse Practitioner Primary 363LG0600X283800-4405 (UT)

Gerontology Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1811660764

Mercedes Longshaw Mortensen, AGNP-C's National Provider Identifier is 1811660764, issued on Jul 27, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 30, 2025.