Individual provider · Type 1 NPI

Mark David Runner, RN

Registered Nurse · Shiloh, IL

NPI number 1508629734 Active

Practice location

1190 Fortune Blvd
Shiloh, IL 62269-7358

Mailing address

810 N Smiley St
O Fallon, IL 62269-1228

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041.229494 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1508629734

Mark David Runner, RN's National Provider Identifier is 1508629734, issued on Jan 31, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Shiloh, IL. The record was last updated on Jan 31, 2024.