Individual
AMANDA RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 E BROAD ST, SUITE 400, COLUMBUS, OH 43213-1505
(614) 655-3345
Mailing address
6400 E BROAD ST, SUITE 400, COLUMBUS, OH 43213-1505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN423502
OH
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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