Individual provider · Type 1 NPI
Georgia Russell, APRN
Family Nurse Practitioner · Moab, UT
NPI number
1073785408
Active
Practice location
450 Williams Way
Moab, UT 84532
Fax (435) 719-3509
Other practice locations
- 719 West 400 North, Moab, UT 84532 · (435) 259-7191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209410-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073785408
Georgia Russell, APRN's National Provider Identifier is 1073785408, issued on Mar 26, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moab, UT. The record was last updated on Aug 16, 2018.