NPI 1003091430

Lisa Ann Runyon, CPNP

Practitioner Pediatric Nurse Practitioner Salt Lake City, UT

Practice location

Address: 100 N Medical Dr Trauma Services, Salt Lake City, UT 84113-1103
Phone: (801) 662-2993
Fax: (801) 662-2999

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 216679-4405 (UT)

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1003091430
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2008
Record last updated: 3 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.