Individual
CIARA NICOLE RUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
116 S GEORGE ST, YORK, PA 17401-1474
(717) 845-8617
Mailing address
116 S GEORGE ST, YORK, PA 17401-1474
(717) 845-8617
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA061830
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
—
Enumeration date
10/13/2020
Last updated
03/17/2021
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