Individual provider · Type 1 NPI

Theresa Runyon, RN NP

Nurse Practitioner · Antioch, CA

NPI number 1316948235 Active

Practice location

2370 Country Hills Dr Ste 101
Antioch, CA 94509-7436

Call (925) 779-9635 Map

Mailing address

112 La Casa Via, Ste 210
Walnut Creek, CA 94598-3091

Other practice locations

  • 110 Tampico Ste 200, Walnut Creek, CA 94598-2962 · (925) 944-0351
  • 2222 East St Ste 365, Concord, CA 94520-2170 · (925) 686-1230

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN43220 (CA)
Nurse Practitioner Primary 363L00000XMD13953 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316948235

Theresa Runyon, RN NP's National Provider Identifier is 1316948235, issued on Aug 2, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Antioch, CA. The record was last updated on Sep 23, 2026.