Individual
DAVID RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-2818
(774) 441-7799
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P877912
MA
163W00000X
Registered Nurse
RN2357052
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2357052
MA
Other
Enumeration date
10/28/2021
Last updated
12/29/2025
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