IndividualActive
Georgia Russell, APRN
NPI 1073785408 · Family Nurse Practitioner · Moab, UT
Provider details
- NPI number
- 1073785408
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209410-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
450 Williams Way
Moab, UT 84532
Phone: (435) 719-3510
Fax: (435) 719-3509
Approximate (ZIP-level) locationGet directions
Mailing address
450 Williams Way
Moab, UT 84532-2185
Additional practice locations (1)
- 719 West 400 NorthMoab, UT 84532Phone: (435) 259-7191
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2018-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.