# ELIZABETH BEHR RUNYON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780603241
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3004525 | KY | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 09/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000609080 | ANTHEM BCBS PIN | — |
| 01 | — | 3004525 | MEDICAL LICENSE | KY |
| 01 | — | 581467 | VALUEOPTIONS | — |
| 01 | — | 6874327 | AETNA | — |
| 05 | — | 78014800 | — | KY |