Individual provider · Type 1 NPI

Russell Davis

Family Nurse Practitioner · Tooele, UT

NPI number 1982148581 Active

Practice location

1887 Aaron Dr Ste B
Tooele, UT 84074-8138

Call (435) 775-9969 Map

Mailing address

1887 N Aaron Dr, Suite B
Tooele, UT 84074

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4988445-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1982148581

Russell Davis's National Provider Identifier is 1982148581, issued on Dec 15, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tooele, UT. The record was last updated on Jul 20, 2018.