| Doctor Name: | MS. SUSAN ELAINE RUNYON |
| NPI Number: | 1497731160 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | NP01993 |
| Business Practice Address: | 55 Township Road 508 E South Point, OH - 456807276 |
| Business Phone Number: | 7403772712 |
| Business Fax Number: | 7403772588 |
| Mailing Address: | 305 N 5th St, IRONTON |
| State: | OH |
| Postal Code: | 456381578 |
| Phone Number: | 7405324858 |
| Fax Number: | 7405324859 |
| NPI Enumeration Date: | 12/15/2005 |
| NPI Last Update Date: | 11/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP01993 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |