Individual
CODY REIDER
Active
Individual
CODY REIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1636760
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0998320-CRNA
CO
Other
Enumeration date
11/16/2022
Last updated
01/08/2023
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