Individual
WAYNELLA JEAN RUNCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1750 48TH ST, SUITE 2, DES MOINES, IA 50310-1988
(515) 271-6300
(515) 271-6311
Mailing address
1750 48TH ST, SUITE 2, DES MOINES, IA 50310-1988
(515) 271-6300
(515) 271-6311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
055986
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
T-055986
IA
Other
Enumeration date
08/17/2005
Last updated
09/11/2025
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