Individual
KAITLYN ELIZABETH RUNNELS
Active
Individual
KAITLYN ELIZABETH RUNNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
1617123
CO
363LN0000X
Neonatal Nurse Practitioner
Primary
0994847-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0994847-NP
APN LICENSE
CO
05
—
1013573997
—
CO
01
—
1617123
RN LICENSE
CO
Enumeration date
05/15/2019
Last updated
11/20/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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