Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark David Runner, RN

Individual provider Registered Nurse · NPI 1508629734

Mark David Runner, RN is a Registered Nurse in Shiloh, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1190 Fortune Blvd
Shiloh, IL 62269-7358
Phone: (314) 286-6988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041.229494 (IL)

Record details

NPI number1508629734
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 31, 2024
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address810 N Smiley St, O Fallon, IL 62269-1228

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