Individual provider · Type 1 NPI
Amberley Noel Mortensen, LATC
Specialist · South Duxbury, VT
NPI number
1871637876
Active
Practice location
458 Vt Route 100, Harwood Union High School
South Duxbury, VT 05660-9128
Fax (802) 882-1198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 104-0000130 (VT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1871637876
Amberley Noel Mortensen, LATC's National Provider Identifier is 1871637876, issued on Feb 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Duxbury, VT. The record was last updated on Jul 8, 2007.