Individual
MRS. ASHLEY LYNN RUSSELL
Active
Individual
MRS. ASHLEY LYNN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6238990-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6238990-4405
UTAH DEPARTMENT OF COMMERCE DOPL LICENSE
UT
01
—
F02221129
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
—
Enumeration date
03/04/2022
Last updated
03/04/2022
Update your record
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