Individual
AMY L RUNSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
361 ALEXANDER SPRING RD, CARLISLE, PA 17015-6940
(717) 782-3282
(717) 231-8964
Mailing address
361 ALEXANDER SPRING RD, CARLISLE, PA 17015-6940
(717) 782-3282
(717) 231-8964
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN524836L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050514
MEDICARE GROUP #
PA
01
—
1007307260035
MEDICAID GROUP #
PA
01
—
101600332
MEDICAID GROUP #
—
05
—
102624689
—
PA
01
—
99663
MEDICARE GROUP #
—
Enumeration date
03/08/2011
Last updated
07/05/2023
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