Healthcare Provider Details

I. General information

NPI: 1184374316
Provider Name (Legal Business Name): ERIN RUNGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S COLUMBUS ST
LANCASTER OH
43130-4315
US

IV. Provider business mailing address

201 S COLUMBUS ST
LANCASTER OH
43130-4315
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-4500
  • Fax: 740-687-4595
Mailing address:
  • Phone: 740-687-4500
  • Fax: 740-687-4595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number433573
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0042775
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: