Provider Demographics
NPI:1033702832
Name:MORTENSEN, LINDSEY GRAY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:GRAY
Last Name:MORTENSEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 S GREYHOUND RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-4977
Mailing Address - Country:US
Mailing Address - Phone:801-367-1490
Mailing Address - Fax:
Practice Address - Street 1:3000 N TRIUMPH BLVD STE 240
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-7187
Practice Address - Country:US
Practice Address - Phone:385-345-3560
Practice Address - Fax:877-331-0467
Is Sole Proprietor?:No
Enumeration Date:2021-02-12
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6393367-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily