Individual
EMILY S RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
9915 PARK CEDAR DR, CHARLOTTE, NC 28210-8905
(704) 544-3263
Mailing address
9915 PARK CEDAR DR, CHARLOTTE, NC 28210-8905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689042707
—
NC
05
—
QNP325
—
SC
Enumeration date
09/04/2015
Last updated
03/17/2018
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