Individual
SUSAN LYNN RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-4141
Mailing address
1700 E CEDAR TREE LN, HARTSBURG, MO 65039-9218
(573) 881-6581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015032889
MO
Other
Enumeration date
09/30/2015
Last updated
09/12/2022
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