Individual
SHEILA VANIECE RUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N
Contact information
Practice address
2233 N 600 W, LEHI, UT 84043-2854
(801) 602-8886
Mailing address
2233 N 600 W, LEHI, UT 84043-2854
(801) 602-8886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5136799-4405
UT
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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