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Carol Runyon, CRNA

Nurse Practitioner in Lincoln, IL. Individual provider (NPI-1).

NPI number1609832005
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1609832005
Entity type
Individual (NPI-1)
Name
Carol Runyon
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner209-001333ILYes

Practice location

28 Augusta Dr
Lincoln, IL 62656-9101

Phone 217-732-9480

Mailing address

28 Augusta Dr
Lincoln, IL 62656-9101

Phone 217-732-9480

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