Individual
MRS. RENEE MARIE RUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1750 E. UNIVERSITY, TEMPE, AZ 85281
(623) 687-6680
Mailing address
15161 W REDFIELD RD, SURPRISE, AZ 85379-8023
(623) 687-6680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TEMP236654
AZ
363LF0000X
Family Nurse Practitioner
F11190566
AZ
Other
Enumeration date
01/02/2020
Last updated
01/24/2020
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