Individual provider · Type 1 NPI

Theresa Louise Mortensen, N.P.

Nurse Practitioner · Santa Rosa, CA

NPI number 1972683753 Active

Practice location

3555 Round Barn Cir
Santa Rosa, CA 95403-1757

Call (707) 528-1050 Map

Fax (707) 525-3874

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X402482 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972683753

Theresa Louise Mortensen, N.P.'s National Provider Identifier is 1972683753, issued on Oct 16, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 8, 2021.