Individual
NANCY GAIL RUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3020 HAMAKER CT, SUITE 200, FAIRFAX, VA 22031-2238
(703) 573-2432
(703) 280-9350
Mailing address
10 E CHAPMAN ST, ALEXANDRIA, VA 22301-2202
(703) 549-2448
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024070590
VA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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