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DIANE RUSSELL, FNP
FNP
Nurse Practitioner
NPI: 1457994089IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine Physician
Family Medicine
Code: 207Q00000X
5648785-4405(UT)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
5648785-4405(UT)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124 - Phone
- (801) 266-3418
Quick Facts
- NPI
- 1457994089
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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