Active NPIIndividual providerSole proprietor

Amberley N Mortensen, LATC

Specialist in South Duxbury, Vermont

NPI Number1871637876
Practice location
458 Vt Route 100, Harwood Union High School, South Duxbury, VT 05660-9128
Fax
802-882-1198
Last updated
July 8, 2007

Amberley Noel Mortensen is a Specialist based in South Duxbury, VT. Amberley Noel Mortensen practices in South Duxbury, VT and has the professional credentials of LATC. The NPI Number for Amberley Noel Mortensen is 1871637876 and holds a License No. 104-0000130 (VT). The current practice location address for Amberley Noel Mortensen is 458 Vt Route 100, Harwood Union High School, South Duxbury, VT 05660-9128 and can be reached out via phone at 802-882-1121 and via fax at 802-882-1198.

Provider Profile Details

NPI Number
1871637876
Provider Name
Amberley Noel Mortensen
Credential
LATC
Provider Entity Type
Individual
Gender
Female
Address
458 Vt Route 100, Harwood Union High School, South Duxbury, VT 05660-9128
Phone Number
802-882-1121
Fax Number
802-882-1198
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
February 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
458 Vt Route 100
Harwood Union High School
South Duxbury, VT 05660-9128
State
Vermont
Zip
05660-9128
Phone Number
802-882-1121
Fax Number
802-882-1198
South Duxbury, VT 05660Get directions →

Provider Business Mailing Address Details

Address
458 Vt Route 100
Harwood Union High School
South Duxbury, VT 05660-9128
City
South Duxbury
State
VT
Zip
05660-9128
Phone Number
802-882-1121
Fax Number
802-882-1198

License Information

License Number
104-0000130
License State
VT
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amberley N Mortensen, LATC?

The NPI number of Amberley N Mortensen, LATC is 1871637876. It was assigned on February 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Amberley N Mortensen, LATC?

Amberley N Mortensen, LATC is registered under the primary taxonomy Specialist (code 174400000X), licensed in VT under license number 104-0000130.

Where does Amberley N Mortensen, LATC practice?

The practice location is 458 Vt Route 100, Harwood Union High School, South Duxbury, VT 05660-9128. The office can be reached at 802-882-1121 (phone) or 802-882-1198 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871637876 directly on the NPPES registry website.

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