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Cody Bryan Harris, CNP
Family Nurse Practitioner in Lewiston, Idaho
NPI 1992081467

Cody Bryan Harris is a Family Nurse Practitioner based in Lewiston, ID and is specialized in Family. Cody Bryan Harris practices in Lewiston, ID and has the professional credentials of CNP. The NPI Number for Cody Bryan Harris is 1992081467 and holds a License No. CP000676 (Idaho).

The current practice location address for Cody Bryan Harris is 1522 17Th St, Lewiston, ID and can be reached out via phone at 208-743-8416 and via fax at 208-743-4642.

Location: 1522 17Th St, Lewiston, ID, 83501-0341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992081467
Provider Name
Cody Bryan Harris
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
1522 17Th St, Lewiston, ID, 83501-0341
Phone Number
208-743-8416
Fax Number
208-743-4642
Provider Enumeration Date
10/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1522 17Th St
City
Lewiston
State
Idaho
Zip
83501-3652
Phone Number
208-743-8416
Fax Number
208-743-4642
person
Provider Business Mailing Address Details
Address
1522 17Th St
City
Lewiston
State
Idaho
Zip
83501-3652
Phone Number
208-743-8416
Fax Number
208-743-4642
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
CP000676 (South Dakota)
Definition
Definition to come...
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