Individual provider · Type 1 NPI
Angela C. Mortensen, PMHNP
Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO
NPI number
1982165510
Active
Practice location
4444 Forest Park Ave, Ste 2600
St. Louis, MO 63108-2212
Fax (314) 286-1777
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2019009782 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1982165510
Angela C. Mortensen, PMHNP's National Provider Identifier is 1982165510, issued on Mar 27, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.