Misti Mortensen is a Driver based in Muse, OK. Misti Mortensen practices in Muse, OK. The NPI Number for Misti Mortensen is 1902250889 and holds a License No. 160303451 (Oklahoma).
The current practice location address for Misti Mortensen is 26652 Muse Road, Muse, OK and can be reached out via phone at 435-790-2159.
Location: 26652 Muse Road, Muse, OK, 74949
Provider Profile Details
NPI Number
1902250889
Provider Name
Misti Mortensen
Credential
Provider Entity Type
Individual
Gender
Female
Address
26652 Muse Road, Muse, OK, 74949
Phone Number
435-790-2159
Fax Number
Provider Enumeration Date
04/18/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
26652 Muse Road
City
State
Zip
74949
Phone Number
435-790-2159
Fax Number
Provider Business Mailing Address Details
Address
26652 Muse Road
City
State
Zip
74949
Phone Number
435-790-2159
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
160303451 (Utah)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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