Individual
MARY JOLENE RUNKEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
411 LAUREL ST, SUITE A250, DES MOINES, IA 50314-3017
(515) 235-5000
(515) 288-6713
Mailing address
5880 UNIVERSITY AVE, SUITE 205, WEST DES MOINES, IA 50266-8220
(515) 633-3835
(515) 633-3837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H062561
IA
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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