Runnelsnp PLLC

Organization Active NPI Primary Care Clinic/Center · Plain City, UT

NPI 1144095142 · NPPES record last updated Nov 20, 2023

Key facts

NPI
1144095142
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
RUNNELSNP PLLC
Practice address
3563 W 2425 N
Plain City, UT 84404-8577
Phone
(435) 730-3274
NPI assigned
Nov 20, 2023
Organization subpart
No

Authorized official

Name
Rylee Runnels, MSN, APRN, FNP-C
Title
Nurse Practitioner
Phone
(435) 730-3274

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

3563 W 2425 N
Plain City, UT 84404-8577

Mailing address

3563 W 2425 N
Plain City, UT 84404-8577
Phone (435) 730-3274

Other providers in Plain City, UT

All providers in Plain City, UT · Primary Care Clinic/Center in Utah

Sources for this page

Verify at the official NPI Registry.