Linda J Runstrom, APNP
Individual provider Active NPI Family Nurse Practitioner · Houston, MN
NPI 1558453068 · NPPES record last updated Apr 28, 2016
Key facts
- NPI
- 1558453068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R1513017 (MN)
- Practice address
- 511 E Maple St
Houston, MN 55943-9219 - Phone
- (507) 896-6000
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1513017 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Medical Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R1513017 | MN | Yes |
Addresses
Primary practice location
511 E Maple St
Houston, MN 55943-9219
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530657400 | Medicaid | MN |
Other providers in Houston, MN
- Maple Street, PC
- Eleanor Rae Meyer
- Rhean Perkins
- Anne K Piper
- Ridgeway Community School
- Rushford Drug Co
- Kristie Jane Treptow
- Valley View Nursing Home of Houston, Inc.
- Megan Wieser
All providers in Houston, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.