Individual provider · Type 1 NPI

Diane R. Russell, FNP

Nurse Practitioner · Salt Lake City, UT

NPI number 1457994089 Active

Practice location

1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1236

Call (801) 266-3418 Map

Fax (801) 266-4174

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	5648785-4405 (UT)
Nurse Practitioner Primary	363L00000X	5648785-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

19 other providers at this address

Other nurse practitioner providers in Salt Lake City

See all in Salt Lake City →

About NPI 1457994089

Diane R. Russell, FNP's National Provider Identifier is 1457994089, issued on Oct 27, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 9, 2022.