Individual provider · Type 1 NPI
Misti Mortensen
Driver · Muse, OK
NPI number
1902250889
Active
Practice location
26652 Muse Road
Muse, OK 74949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 160303451 (UT) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1902250889
Misti Mortensen's National Provider Identifier is 1902250889, issued on Apr 18, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Muse, OK. The record was last updated on Apr 18, 2016.