Provider Demographics
NPI:1851066146
Name:RUNGE, WHITNEY LEWIS (NP)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LEWIS
Last Name:RUNGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:LEE
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1530 NC HIGHWAY 306 S
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:NC
Mailing Address - Zip Code:27806-9245
Mailing Address - Country:US
Mailing Address - Phone:252-322-4111
Mailing Address - Fax:252-322-8030
Practice Address - Street 1:1530 NC-306
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NC
Practice Address - Zip Code:27806
Practice Address - Country:US
Practice Address - Phone:252-322-8298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC268986163W00000X
NC5014729363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse