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Mercedes Mortensen, AGNP-C — NPI 1811660764, Salt Lake City, UT | NPI Central

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NPI 1811660764

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Mercedes Mortensen, AGNP-C

NPI 1811660764 · Gerontology Nurse Practitioner · Salt Lake City, UT

Provider details

NPI number: 1811660764
Entity type: Individual
Primary specialty: Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: AGNP-C
Sex: Female
Sole proprietor: Yes
License: 283800-4405 (UT)

Specialties & taxonomies

Gerontology Nurse PractitionerPrimary363LG0600XLicense 283800-4405 (UT)
Physician Assistants & Advanced Practice Nursing Providers
Adult Health Nurse Practitioner363LA2200XLicense 283800-4405 (UT)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

522 E 100 S

Salt Lake City, UT 84102-1905

Phone: (801) 485-5055

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

3204 S Harmony Cir

Salt Lake City, UT 84109-2706

Additional practice locations (1)

5169 S Cottonwood St Ste 500
Murray, UT 84107-6770
Phone: (801) 507-5152

Registry dates

Enumerated: 2021-07-27
Last updated: 2025-07-30
Certified: 2025-07-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.