IndividualActive
Amanda Russell, SBD, MSP
NPI 1205524147 · Doula · Taylorsville, UT
Provider details
- NPI number
- 1205524147
- Entity type
- Individual
- Primary specialty
- DoulaNursing Service Related Providers
- Credential
- SBD, MSP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
6278 S 3975 W
Taylorsville, UT 84129-1016
Phone: (801) 997-0977
Approximate (ZIP-level) locationGet directions
Mailing address
6278 S 3975 W
Taylorsville, UT 84129-1016
Registry dates
- Enumerated
- 2023-04-28
- Last updated
- 2023-04-28
- Certified
- 2023-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.