Provider Demographics
NPI:1346010709
Name:RUNSER, DIANITZA VIANETH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DIANITZA
Middle Name:VIANETH
Last Name:RUNSER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 NE FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1431
Mailing Address - Country:US
Mailing Address - Phone:302-424-7200
Mailing Address - Fax:
Practice Address - Street 1:253 NE FRONT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1431
Practice Address - Country:US
Practice Address - Phone:302-424-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0012506363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily