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Individual
CODY WALSH
Active
Individual
CODY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
248388
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
C-APN.0003547-C-NP
CO
Other
Enumeration date
12/04/2021
Last updated
02/28/2022
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