Russell, Amanda

Russell, Amanda is an sole proprietor health care provider with primary practice located at 6278 S 3975 W , Taylorsville UT 84129-1016. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Nursing Service Related Providers / Doula is her primary health care specialty. Russell, Amanda can be contacted via phone (801) 997-0977.

Contact Information

Primary practice address
6278 S 3975 W Taylorsville UT 84129-1016
Phone: (801) 997-0977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X UT-1533-16397 Utah

Profile Details

NPI number 1205524147
LBN Legal business name Russell, Amanda
Credentials SBD, MSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2023
Last updated Apr 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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