Runyon, Nichole Marie

Runyon, Nichole Marie is an individual health care provider with primary practice located at 1040 Delaware Ave , Marion OH 43302-6416. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Runyon, Nichole Marie can be contacted via phone (740) 383-8080.

Contact Information

Primary practice address
1040 Delaware Ave Marion OH 43302-6416
Phone: (740) 383-8080
Fax: (740) 383-8084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-308188 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.023698 Ohio

Profile Details

NPI number 1174596159
LBN Legal business name Runyon, Nichole Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174596159 NPPES
Ohio MEDICAID 0333675

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