Individual
MARY GAYLE RUNDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6422 VANN RD, NEWBURGH, IN 47630-2997
(812) 449-6641
Mailing address
6422 VANN RD, NEWBURGH, IN 47630-2997
(812) 449-6641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004690A
IN
Other
Enumeration date
09/17/2013
Last updated
03/17/2018
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