Individual provider · Type 1 NPI
Susan Mary Runyan, REGISTERED DIETITIAN
Registered Dietitian · Eielson Afb, AK
Practice location
354th Medical Group, 2630 Central Ave, Suite 1M07
Eielson Afb, AK 99702
Fax (907) 377-1629
Mailing address
2594 Carrie Lynn Dr
North Pole, AK 99705-5639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 110 (AK) |
Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…
About NPI 1760442297
Susan Mary Runyan, REGISTERED DIETITIAN's National Provider Identifier is 1760442297, issued on Mar 27, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Eielson Afb, AK. The record was last updated on Jul 13, 2026.