Tayla Russell, is a
Dietitian, Registered based in Mantua, Utah. Tayla Russell is licensed to practice in * (Not Available) (license number ) and her current practice location is
185 W 600 N, Mantua, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 553-5698.
NPI number for Tayla Russell is 1346776184 and her current mailing address is 6556 S Big Cottonwood Cyn, Suite #300, Holladay, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346776184.
Healthcare Provider's Profile
| Full Name | Tayla Russell |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 185 W 600 N, Mantua, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346776184
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 05/11/2017
Medical Identifiers
Medical identifiers for Tayla Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346776184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tayla Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tayla Russell,
6556 S Big Cottonwood Cyn, Suite #300,
Holladay, UT 84121-3580
Ph: () - | Tayla Russell,
185 W 600 N,
Mantua, UT 84324-4398
Ph: (435) 553-5698 |
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