Individual provider · Type 1 NPI

Thomas Runscavage Iii

Primary Care Nurse Practitioner · Luzerne, PA

NPI number 1437505500 Active

Practice location

816 North St
Luzerne, PA 18709-1034

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XSP016085 (PA)
Gerontology Nurse Practitioner 363LG0600XSP016085 (PA)
Primary Care Nurse Practitioner Primary 363LP2300XSP016085 (PA)

Primary Care Nurse Practitioner: Definition to come...

About NPI 1437505500

Thomas Runscavage Iii's National Provider Identifier is 1437505500, issued on May 9, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Luzerne, PA. The record was last updated on May 9, 2016.