Connie Russell
Connie Russell is a Registered Nurse in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1205 E Bonner WaySalt Lake City, UT 84117-4917
Phone: (801) 598-8337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 366691-4405 (UT) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 366691-3102 (UT) |
Record details
| NPI number | 1518509637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2019 |
| Last updated in NPPES | October 15, 2020 |
| Certification date | October 15, 2020 |
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