Individual
ANDREA RUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 HOWARD AVE, OP302, ALTOONA, PA 16601-4804
(814) 889-2011
Mailing address
1414 9TH AVE, ALTOONA, PA 16602-2415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012263
PA
Other
Enumeration date
08/13/2012
Last updated
06/15/2021
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