Individual
EMILY RUTH RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8451 E PAWNEE ST, WICHITA, KS 67207-5420
(166) 180-0353
(316) 633-4468
Mailing address
8451 E PAWNEE ST, WICHITA, KS 67207-5420
(316) 618-0035
(316) 633-4468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
46212
KS
390200000X
Student in an Organized Health Care Education/Training Program
13-92793-092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004029160008
—
KS
Enumeration date
06/10/2008
Last updated
09/10/2024
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