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Individual

MS. KRISTEN RUNYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
503 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3612
(732) 390-8400
(732) 390-8970
Mailing address
503 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3612
(732) 390-8400
(732) 390-8970

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00146700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ00146700
ADVANCED PRACTICE NURSE LICENSE
NJ
01
26NR10598400
REGISTERED NURSE
NJ
Enumeration date
04/24/2014
Last updated
03/15/2017
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