Search › Wisconsin › 163W00000X

Dusty Mortensen

NPI 1043159437 · on the registry since 2026 · sole proprietor

Practice

Address
N7490 Wood Dr
Trego, WI 54888
Phone
(715) 553-0684

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin