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General NPI Number Information
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NPI Number | 1033702832
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Entity Type | Individual
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Provider Name | LINDSEY GRAY MORTENSEN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 3000 N TRIUMPH BLVD STE 240
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City | LEHI
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State | UT
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Zip | 84043-7187
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Country | US
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Telephone | 385-345-3560
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Fax | 877-331-0467
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Provider Business Mailing Address
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Address Line | 3000 N TRIUMPH BLVD STE 330
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City | LEHI
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State | UT
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Zip | 84043-7188
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Country | US
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Telephone | 385-345-3560
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Fax | 877-331-0467
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 6393367-4405
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License Number State | UT
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