Runyon, Theresa

Runyon, Theresa is an individual health care provider with primary practice located at 112 La Casa Via Ste 210, Walnut Creek CA 94598-3091. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Runyon, Theresa can be contacted via phone (925) 944-0351.

Contact Information

Primary practice address
112 La Casa Via Ste 210 Walnut Creek CA 94598-3091
Phone: (925) 944-0351
Fax: (925) 944-1957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X MD13953 California
Nursing Service Providers / Registered Nurse 163W00000X RN43220 California

Profile Details

NPI number 1316948235
LBN Legal business name Runyon, Theresa
Credentials RN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 17 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 1316948235 NPPES
California MEDICAID GR0020610

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