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Mr. Cody Ericson, NP
Family Nurse Practitioner in Visalia, California
NPI 1972169340

Cody Ericson is a Family Nurse Practitioner based in Visalia, CA and is specialized in Family. Cody Ericson practices in Visalia, CA and has the professional credentials of NP. The NPI Number for Cody Ericson is 1972169340 and holds a License No. 95009597 (California).

The current practice location address for Cody Ericson is 400 W Mineral King Ave, Visalia, CA and can be reached out via phone at 559-624-5339.

Location: 400 W Mineral King Ave, Visalia, CA, 93277-4124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972169340
Provider Name
Cody Ericson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
400 W Mineral King Ave, Visalia, CA, 93277-4124
Phone Number
559-624-5339
Fax Number
Provider Enumeration Date
05/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95009597 01 CA BOARD OF REGISTERED NURSING (BRN)
institution
Provider Business Practice Location Address Details
Address
400 W Mineral King Ave
City
Visalia
State
California
Zip
93291-6237
Phone Number
559-624-5339
Fax Number
person
Provider Business Mailing Address Details
Address
400 W Mineral King Ave
City
Visalia
State
California
Zip
93291-6237
Phone Number
559-624-5339
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95009597 (California)
Definition
Definition to come...
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