Grethe June Mortenson
Nurse Practitioner Nurse Practitioner - Neonatal
9555 76th St
Pleasant Prairie
, Wisconsin 53158-1984
Grethe June Mortenson
Nurse Practitioner Nurse Practitioner - Neonatal
9555 76th St
Pleasant Prairie
, Wisconsin 53158-1984
(262) 577-8015
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Grethe June Mortenson
- 9555 76th Street Med Staff Office - Melissa
- Pleasant Prairie, WI
- Zip : 53158-1984
- Fax : (262) 577-8015
- Phone : (262) 577-8005
Second Address
- Grethe June Mortenson
- 9555 76th St
- Pleasant Prairie, WI
- Zip : 53158-1984
- Fax : (262) 577-8015
- Phone : (262) 577-8005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8585 | WI |
| N | 363LN0000X | Nurse Practitioner - Neonatal | R 152993-3 | MN |
National Provider Identifier
| NPI | 1205183415 |
|---|---|
| Provider Name | Grethe June Mortenson |
| First Address | Pleasant Prairie, WI 53158-1984 |
| Second Address | Pleasant Prairie, WI 53158-1984 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2012 |
| Last Update Date | 14/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1205183415 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.