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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