Individual provider · Type 1 NPI

Emily Russak, PA-C

Student in an Organized Health Care Education/Training Program · Orem, UT

NPI number 1245186774 Active

Practice location

951 S Geneva Rd
Orem, UT 84058-5857

Call (720) 841-3417 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245186774

Emily Russak, PA-C's National Provider Identifier is 1245186774, issued on Mar 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orem, UT. The record was last updated on Mar 6, 2026.