NPI 1013727551

Melissa Cherie Russell

Practitioner Psychiatric/Mental Health Registered Nurse Provo, UT

Practice location

Address: 750 N Freedom Blvd, Provo, UT 84601-1677
Phone: (801) 373-4760

Registered specialties

Psychiatric/Mental Health Registered Nurse Primary

Nursing Service Providers Taxonomy 163WP0808X Licence 9515852-3102 (UT)

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Registry record

NPI: 1013727551
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2025
Record last updated: 11 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.