Individual
MS. SUSAN ELAINE RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1100 HOSPITAL DR, HURRICANE, WV 25526-8712
(304) 757-8683
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
01993
OH
363LF0000X
Family Nurse Practitioner
Primary
NP01993
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120332
—
OH
05
—
7103212000
—
WV
Enumeration date
12/15/2005
Last updated
09/23/2024
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