NPI 1477368280
Alyssa Russell
Practice location
- Address
- 100 S 1000 W, Tooele, UT 84074-4010
- Phone
- (888) 949-4864
- Mailing address
- 3725 W 4100 S STE 201, West Valley City, UT 84120-5411
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1477368280
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Feb 2025
- Record last updated
- 10 Feb 2025
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.