Individual
JANICE LYNN RUNZHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHCNS-BC
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 820-4906
(817) 250-5441
Mailing address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 820-4906
(817) 250-5441
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
451365
TX
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
451365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192321101
—
TX
Enumeration date
07/16/2007
Last updated
11/14/2014
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