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Cody E Bilderback, FNP
Family Nurse Practitioner in Alton, Illinois
NPI 1467890657

Cody E Bilderback is a Family Nurse Practitioner based in Alton, IL and is specialized in Family. Cody E Bilderback practices in Alton, IL and has the professional credentials of FNP. The NPI Number for Cody E Bilderback is 1467890657 and holds a License No. 2013012822 (Illinois).

The current practice location address for Cody E Bilderback is 4 Memorial Dr Ste 230B, Alton, IL and can be reached out via phone at 618-463-7874.

Location: 4 Memorial Dr Ste 230B, Alton, IL, 62002-6705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467890657
Provider Name
Cody E Bilderback
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4 Memorial Dr Ste 230B, Alton, IL, 62002-6705
Phone Number
618-463-7874
Fax Number
Provider Enumeration Date
06/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2013012822 01 MO MO LICENSE
institution
Provider Business Practice Location Address Details
Address
4 Memorial Dr Ste 230B
City
Alton
State
Illinois
Zip
62002-6705
Phone Number
618-463-7874
Fax Number
person
Provider Business Mailing Address Details
Address
4 Memorial Dr Ste 230B
City
Alton
State
Illinois
Zip
62002-6705
Phone Number
618-463-7874
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2013012822 (Missouri)
Definition
Definition to come...
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