Runnels, Clarence David

Runnels, Clarence David is an individual health care provider with primary practice located at 523 Keisler Dr Ste 202 , Cary NC 27518-7099. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Runnels, Clarence David can be contacted via phone (919) 601-6442.

Contact Information

Primary practice address
523 Keisler Dr Ste 202 Cary NC 27518-7099
Phone: (919) 601-6442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5011070 North Carolina

Profile Details

NPI number 1487129649
LBN Legal business name Runnels, Clarence David
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2018
Last updated Dec 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487129649 NPPES
North Carolina Other 2018010871 ANCC CERTIFICATION NUMBER
North Carolina Other 5011070 ANCC CERTIFICATION NUMBER

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