Individual provider · Type 1 NPI
David Runyan, FNP-BC
Family Nurse Practitioner · Worcester, MA
NPI number
1205590890
Active
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Fax (774) 441-7799
Mailing address
PO Box 415348
Boston, MA 02241-5348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2357052 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN2357052 (MA) |
| Paramedic | 146L00000X | P877912 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205590890
David Runyan, FNP-BC's National Provider Identifier is 1205590890, issued on Oct 28, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Worcester, MA. The record was last updated on Dec 29, 2025.