IndividualActive
Randa Russell
NPI 1376395384 · Peer Specialist · Ogden, UT
Provider details
- NPI number
- 1376395384
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
670 26th St Apt 21
Ogden, UT 84401-4306
Phone: (801) 719-7081
Approximate (ZIP-level) locationGet directions
Mailing address
670 26th St Apt 21
Ogden, UT 84401-4306
Additional practice locations (1)
- 934 S Main StLayton, UT 84041-7135Phone: (801) 336-1845
Registry dates
- Enumerated
- 2024-04-03
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.