NPI 1205524147
Amanda Russell, SBDMSP
Practice location
- Address
- 6278 S 3975 W, Taylorsville, UT 84129-1016
- Phone
- (801) 997-0977
Registered specialties (2)
Doula
Primary
Phlebotomy Technician
Registry record
- NPI
- 1205524147
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Apr 2023
- Record last updated
- 28 Apr 2023
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.