Individual
RACHELLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
244 W VINE ST STE 232, MURRAY, UT 84107-5492
(801) 716-1007
(385) 351-3664
Mailing address
244 W VINE ST STE 232, MURRAY, UT 84107-5492
(801) 716-1007
(385) 351-3664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6298718-4405
UT
Other
Enumeration date
07/15/2013
Last updated
06/28/2023
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